MEDICARE: A WOMAN'S TOUCH IN HEALTHCARE, INC.

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
1	261QH0100X	Health Service Clinic/Center		FL

General Provider Information

NPI Number	:	1821091828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A WOMAN'S TOUCH IN HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	819 WEST 1ST STREET
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1123
Country	:	US
Telephone Number	:	407-321-3884
Fax Number	:	407-321-3885

Provider Business Practice Location Address
First Line	:	819 WEST 1ST STREET
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1123
Country	:	US
Telephone Number	:	407-321-3884
Fax Number	:	407-321-3885

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. DONNA HARVEL BALO
Credential	:	ARNP, CNM, MS
Telephone Number	:	386-736-3211

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/22/2020

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