Provider Demographics
NPI:1619454295
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:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SENSAKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:PAC
Authorized Official - Phone:239-301-0897
Mailing Address - Street 1:9240 BONITA BEACH RD SE STE 1114
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4250
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 STE 1114
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135
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:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty