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Organization
BALANCE HEALING SOLUTIONS PSYCHIATRY
Active
Organization
BALANCE HEALING SOLUTIONS PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS GONZALEZ-ROMAN MD (OWNER)
(813) 502-9354
Entity
Organization
Contact information
Practice address
14888 SUMMER BRANCH DR, LITHIA, FL 33547-5130
(813) 502-9354
Mailing address
14888 SUMMER BRANCH DR, LITHIA, FL 33547-5130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/23/2025
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