Active NPI
Balanced Health, PLLC
- Health Service Clinic/Center
- Tampa, FL
National Provider Identifier
1144615196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- ME118886
- Legal business name
- BALANCED HEALTH, PLLC
- Practice address
- 11327 Countryway Blvd
Tampa, FL 33626-2610 - Phone
- (813) 855-0111
- NPI assigned
- Apr 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tali Arviv, MD
- Title
- President/Owner
- Phone
- (813) 855-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | ME118886 | FL | Primary |
Addresses
Primary practice location
11327 Countryway Blvd
Tampa, FL 33626-2610
Mailing address
11327 Countryway Boulevard
Tampa, FL 33626
Phone (813) 855-0111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428278400000",
"number": "1144615196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11327 COUNTRYWAY BOULEVARD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33626",
"telephone_number": "813-855-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11327 COUNTRYWAY BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262610",
"telephone_number": "813-855-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-06",
"last_updated": "2015-04-06",
"status": "A",
"authorized_official_last_name": "ARVIV",
"authorized_official_first_name": "TALI",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "813-855-0111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "ME118886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.