Provider Demographics
NPI:1346792504
Name:JOY OF BALANCE,LLC
Entity Type:Organization
Organization Name:JOY OF BALANCE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:SENSAKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:239-293-8124
Mailing Address - Street 1:9240 BONITA BEACH RD SE
Mailing Address - Street 2:SUITE1114
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4249
Mailing Address - Country:US
Mailing Address - Phone:239-301-0897
Mailing Address - Fax:239-947-0340
Practice Address - Street 1:9240 BONITA BEACH RD SE
Practice Address - Street 2:SUITE1114
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4249
Practice Address - Country:US
Practice Address - Phone:239-301-0897
Practice Address - Fax:239-947-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102185305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service