| Well Balanced Men Pllc | |
|
24013 Madaca Ln Unit 202 Port Charlotte FL 33954-2807 | |
| (413) 627-8271 | |
| Not Available |
| Full Name | Well Balanced Men Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24013 Madaca Ln Unit 202, Port Charlotte, Florida |
| Authorized Official Name and Position | Maxim Michael Arbuzov (MANAGER) |
| Authorized Official Contact | 4136278271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Balanced Men Pllc 24013 Madaca Ln Unit 202 Port Charlotte FL 33954-2807 Ph: (413) 627-8271 | Well Balanced Men Pllc 24013 Madaca Ln Unit 202 Port Charlotte FL 33954-2807 Ph: (413) 627-8271 |
| NPI Number | 1134866429 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134866429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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