Provider Demographics
NPI:1649658865
Name:BALANCED POINTE WELLNESS
Entity type:Organization
Organization Name:BALANCED POINTE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARLETTE
Authorized Official - Middle Name:R
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:AP, DOM, CHT
Authorized Official - Phone:954-628-6514
Mailing Address - Street 1:3020 SW ARCHER RD
Mailing Address - Street 2:#18
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1812
Mailing Address - Country:US
Mailing Address - Phone:954-628-6514
Mailing Address - Fax:
Practice Address - Street 1:2441 NW 43RD ST
Practice Address - Street 2:#3A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7469
Practice Address - Country:US
Practice Address - Phone:954-628-6514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2841171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty