MEDICARE: BALANCED PODIATRY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1013849215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCED PODIATRY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 770004
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34777-0004
Country	:	US
Telephone Number	:	407-308-5058
Fax Number	:	407-602-0885

Provider Business Practice Location Address
First Line	:	13750 W COLONIAL DR STE 350-102
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4204
Country	:	US
Telephone Number	:	407-308-5058
Fax Number	:	407-602-0885

Authorized Official
Title or Position	:	PODIATRIC PHYSICIAN
Name	:	DR. LARISSA SCHMIDT
Credential	:	DPM
Telephone Number	:	407-308-5058

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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