Provider Demographics
NPI:1942088141
Name:BALANCE NUTRITION BY DANIA
Entity Type:Organization
Organization Name:BALANCE NUTRITION BY DANIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:305-934-8531
Mailing Address - Street 1:19101 MYSTIC POINTE DR APT 2812
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4522
Mailing Address - Country:US
Mailing Address - Phone:305-934-8531
Mailing Address - Fax:
Practice Address - Street 1:2820 NE 214TH ST STE 814
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1270
Practice Address - Country:US
Practice Address - Phone:305-934-8531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty