Organization · Type 2 NPI
Bloom & Balance Psychiatry, PLLC
Medical Physician Assistant · Lakewood Ranch, FL
NPI number
1538035951
Active
Practice location
6901 Professional Pkwy Ste 200
Lakewood Ranch, FL 34240-8473
Fax (941) 855-3009
Mailing address
4116 Butte Trl
Bradenton, FL 34211-1537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1538035951
Bloom & Balance Psychiatry, PLLC's National Provider Identifier is 1538035951, issued on Oct 13, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakewood Ranch, FL. The record was last updated on Jan 29, 2026.