OrganizationActive
Life Balance Medical Group LLC
NPI 1336775733 · Mental Health Clinic/Center (Including Community Mental Health Center) · Tampa, FL
Provider details
- NPI number
- 1336775733
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pedro Hernandez, Owner(813) 443-8221
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2916 W Waters Ave Ste A1
Tampa, FL 33614-1869
Phone: (813) 443-8221
Fax: (813) 443-1869
Street-level locationGet directions
Mailing address
Po Box 151686
Tampa, FL 33684-1686
Registry dates
- Enumerated
- 2020-03-17
- Last updated
- 2021-09-21
- Certified
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.