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General NPI Number Information
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NPI Number | 1356411748
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Entity Type | Organization
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Legal Business Name | FLORIDA BALANCE CENTERS INC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3872 SHERIDAN STREET
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-987-7077
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Fax | 954-987-7044
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Provider Business Mailing Address
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Address Line | 3872 SHERIDAN STREET
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-987-7077
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Fax | 954-987-7044
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS PATULLO
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Credential | AP OTR
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Telephone | 954-987-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1162
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT931
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT1273
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License Number State | FL
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