LIFE BALANCE MEDICAL GROUP LLC
NPI 1336775733
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tampa, FL

Active since March 17, 2020
2916 W WATERS AVE STE A1, TAMPA, FL 33614(813) 443-8221(813) 443-1869 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2021, Mar 17, 2020 (2 updates tracked since 2020).

About Life Balance Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE BALANCE MEDICAL GROUP LLC (NPI 1336775733) is a healthcare organization registered as a mental health (including community mental health center) in Tampa, Florida and active in the NPI registry since March 2020. The organization lists Pedro M Hernandez, Owner, as its authorized official.

NPPES Registry Identity

NPI1336775733
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIFE BALANCE MEDICAL GROUP LLC
Location Address2916 W WATERS AVE STE A1Tampa, FL 33614-1869
Mailing AddressPo Box 151686Tampa, FL 33684-1686 · (813) 443-8221 · Fax (813) 443-1869
Fax(813) 443-1869
Organization SubpartNo
Authorized OfficialPedro M HernandezOwner · (813) 443-8221
Enumeration DateMarch 17, 2020
Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
NPI 1336775733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2916 W WATERS AVE STE A1, Tampa, FL 33614

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
2916 W WATERS AVE STE A1
TAMPA, FL 33614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Balance Medical Group LLC's NPI number?

The NPI number for Life Balance Medical Group LLC is 1336775733. It was assigned to this organization in the NPPES registry on March 17, 2020.

Where is Life Balance Medical Group LLC located?

Life Balance Medical Group LLC is located at 2916 W Waters Ave Ste A1, Tampa, FL 33614. The listed phone number is (813) 443-8221.

What is Life Balance Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Life Balance Medical Group LLC was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.