Organization
B BALANCED INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN S GOMEZ P.A (PRESIDENT)
(305) 305-2757
Entity
Organization
Contact information
Practice address
12039 SW 132ND CT UNIT 28-5, MIAMI, FL 33186-4785
(305) 305-2757
(305) 385-1675
Mailing address
12039 SW 132ND CT UNIT 28-5, MIAMI, FL 33186-4785
(305) 305-2757
(305) 385-1675
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
10569
FL
Other
Enumeration date
09/27/2013
Last updated
10/05/2015
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