Balanced Wellness LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BALANCED WELLNESS LLC

Practice address

1966 NE 123Rd St
Suite #223
North Miami, FL 33181-2868

Phone

(786) 709-7912

NPI assigned

Mar 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Niznik

Title

President

Phone

(786) 709-7912

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1295128908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 NE 123RD ST",
            "address_2": "SUITE #223",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812868",
            "telephone_number": "786-709-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 NE 123RD ST",
            "address_2": "SUITE #223",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812868",
            "telephone_number": "786-709-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "NIZNIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-709-7912"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Health & Wellness of FL, PA
• Back to Mind N Miami LLC
• Lucas Jeremy Bader, MD
• Kale Baker, LSCW
• Ronia M Baker
• Geomaris Ballesta
• Jose Ballesteros
• Brian Ethen Barbosa
• Barnabas Community Ministries
• Janell Barnes

• General Practice Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.