Healthcare Provider Details

I. General information

NPI: 1003703679
Provider Name (Legal Business Name): SHARONDA BALAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7885 VENTURE CENTER WAY APT 8305
BOYNTON BEACH FL
33437-7424
US

IV. Provider business mailing address

7885 VENTURE CENTER WAY APT 8305
BOYNTON BEACH FL
33437-7424
US

V. Phone/Fax

Practice location:
  • Phone: 561-752-6421
  • Fax:
Mailing address:
  • Phone: 561-752-6421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: