Healthcare Provider Details

I. General information

NPI: 1104608223
Provider Name (Legal Business Name): MEN & WOMEN'S BALANCED WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2229 N COMMERCE PKWY STE 220
WESTON FL
33326-3283
US

IV. Provider business mailing address

2229 N COMMERCE PKWY STE 220
WESTON FL
33326-3283
US

V. Phone/Fax

Practice location:
  • Phone: 954-314-7160
  • Fax: 954-378-9040
Mailing address:
  • Phone: 954-314-7160
  • Fax: 954-378-9040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SUHEIL GUZMAN
Title or Position: MEDICAL DIRECTOR /OWNER
Credential: MSN, APRN
Phone: 954-314-7160