Balanced Wellness LLC
General Practice in North Miami, FL. Organization (NPI-2).
NPI number1295128908
StatusActive
Last updated in NPPESMar 5, 2015
Details
- NPI
- 1295128908
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Wellness LLC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2015
- Last updated
- Mar 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
1966 Ne 123rd StSuite #223
North Miami, FL 33181-2868
Phone 786-709-7912
Mailing address
1966 Ne 123rd StSuite #223
North Miami, FL 33181-2868
Phone 786-709-7912
Authorized official
Robert Niznik
President
7867097912
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