Balanced Healthcare

NPI 1083036081 - Clinic/Center - 261Q00000X

NPI Details
NPI 1083036081
Enumeration Date 01/09/2014
Last Updated 01/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TIE TIE
Position OWNER
Phone (954) 729-2530
Fax
Practice Location
4691 S UNIVERSITY DR
DAVIE FL, 33328-3817, US
Phone (954) 729-2530
Fax
Business Location
4691 S UNIVERSITY DR
DAVIE FL, 33328-3817, US
Phone
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Florida
License Number ME83875
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According to our database, Balanced Healthcare NPI is 1083036081, taxonomy code is 261Q00000X and license number is ME83875, license state is located at Florida. Balanced Healthcare physically located at 4691 S University Dr, Davie FL, 33328-3817. NPI Number 1033115704 has the healthcare provider type.

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1083036081 NPI number is provided on an as is basis without warranty of any kind. 1083036081 is maintained by the National Plan & Provider Enumeration System. The contents of Balanced Healthcare are for informational purposes only.