Organization
BALANCED WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NIZNIK (PRESIDENT)
(786) 709-7912
Entity
Organization
Contact information
Practice address
1966 NE 123RD ST, SUITE #223, NORTH MIAMI, FL 33181-2868
(786) 709-7912
Mailing address
1966 NE 123RD ST, SUITE #223, NORTH MIAMI, FL 33181-2868
(786) 709-7912
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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