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NPI Code Detail

MEDICARE: BALANCED WELLBEING USA PA

MEDICARE: BALANCED WELLBEING USA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1144171604
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALANCED WELLBEING USA PA
Provider Business Mailing Address
First Line : 3932 W EAU GALLIE BLVD
Second Line :
City : MELBOURNE
State : FL
Zip : 32934-3283
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 823 BROAD ST STE 209
Second Line :
City : AUGUSTA
State : GA
Zip : 30901-1214
Country : US
Telephone Number : 877-779-2429
Fax Number :
Authorized Official
Title or Position : CEO
Name : GAURAV KULKARNI
Credential :
Telephone Number : 877-779-2429
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “BALANCED WELLBEING USA PA ” Practice Location

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