Balance 4 Life Chiropractic | |
5204 Paylor Ln, Lakewood Ranch, FL 34240-2204 | |
(941) 355-0299 | |
Not Available |
Full Name | Balance 4 Life Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 5204 Paylor Ln, Lakewood Ranch, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245017524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Kenneth Dsouza |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083921092 PECOS PAC ID: 7214190214 Enrollment ID: I20231005002847 |
Mailing Address | Practice Location Address |
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Balance 4 Life Chiropractic 5204 Paylor Ln, Lakewood Ranch, FL 34240-2204 Ph: (941) 355-0299 | Balance 4 Life Chiropractic 5204 Paylor Ln, Lakewood Ranch, FL 34240-2204 Ph: (941) 355-0299 |
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