NPI | 1912635111 |
---|---|
Doing Business As | BALANCE WELLNESS & PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | CAMELIA A ACEVEDO Owner 813-344-3948 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-08-15 |
Last Update Date | 2024-09-30 |