Provider Demographics
NPI:1811163124
Name:NUBALANCE LLC
Entity type:Organization
Organization Name:NUBALANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOEDTLI
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD/N
Authorized Official - Phone:305-794-2061
Mailing Address - Street 1:781 CRANDON BLVD
Mailing Address - Street 2:APT. 601
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-2543
Mailing Address - Country:US
Mailing Address - Phone:305-365-6749
Mailing Address - Fax:305-365-6748
Practice Address - Street 1:781 CRANDON BLVD
Practice Address - Street 2:APT. 601
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-2543
Practice Address - Country:US
Practice Address - Phone:305-365-6749
Practice Address - Fax:305-365-6748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health