Healthcare Provider Details

I. General information

NPI: 1013849215
Provider Name (Legal Business Name): BALANCED PODIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13750 W COLONIAL DR STE 350-102
WINTER GARDEN FL
34787-4204
US

IV. Provider business mailing address

PO BOX 770004
WINTER GARDEN FL
34777-0004
US

V. Phone/Fax

Practice location:
  • Phone: 407-308-5058
  • Fax: 407-602-0885
Mailing address:
  • Phone: 407-308-5058
  • Fax: 407-602-0885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. LARISSA SCHMIDT
Title or Position: PODIATRIC PHYSICIAN
Credential: DPM
Phone: 407-308-5058