Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Zack Jantaworn, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063223741

Michael Zack Jantaworn, APRN is a Nurse Practitioner in Miramar, Florida. Qualified in 2024, 2 years ago. Practices with Balanced Wellbeing LLC, a 231-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2050 Civic Center Pl Fl 3
Miramar, FL 33025-7803
Phone: (954) 262-9498
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11036699 (FL)

Record details

NPI number1063223741
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Balanced Wellbeing Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Miramar