Healthcare Provider Details

I. General information

NPI: 1053454678
Provider Name (Legal Business Name): SIMPLE RELIEF WELLNESS CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 FRUITVILLE RD STE 100
SARASOTA FL
34237-5336
US

IV. Provider business mailing address

2801 FRUITVILLE RD STE 100
SARASOTA FL
34237-5336
US

V. Phone/Fax

Practice location:
  • Phone: 941-363-9000
  • Fax: 941-350-1394
Mailing address:
  • Phone: 941-363-9000
  • Fax: 941-350-1394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH6287
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7535
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH7535
License Number StateFL

VIII. Authorized Official

Name: DR. JOSEPH SCOTT BALEN
Title or Position: OWNER
Credential:
Phone: 941-363-9000