Organization
BALANCE & AWARENESS
Active
Organization
BALANCE & AWARENESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN WEAKS NREMT-P (OWNER / REGISTERED AGENT)
(832) 217-9836
Entity
Organization
Contact information
Practice address
6889 SANTA CLARA DR, NAVARRE, FL 32566-9731
(832) 217-9836
Mailing address
6889 SANTA CLARA DR, NAVARRE, FL 32566-9731
(832) 217-9836
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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