Organization
BALANCE 4 LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D'SOUZA D.C., M.S.A.C.N. (OWNER)
(941) 355-0299
Entity
Organization
Contact information
Practice address
5204 PAYLOR LN, LAKEWOOD RANCH, FL 34240-2204
(941) 355-0299
Mailing address
5204 PAYLOR LN, LAKEWOOD RANCH, FL 34240-2204
(941) 355-0299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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