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Back-2-life Of Floridea
Military Health Care Provider in Safety Harbor, Florida
NPI 1932207206

Back-2-life Of Floridea is a Military Health Care Provider based in Safety Harbor, FL. Back-2-life Of Floridea practices in Safety Harbor, FL. The NPI Number for Back-2-life Of Floridea is 1932207206 and holds a License No. CH9772 (Florida).

The current practice location address for Back-2-life Of Floridea is 2905 Rigsby Ln, Safety Harbor, FL and can be reached out via phone at 727-797-0500 and via fax at 727-797-0050.

Location: 2905 Rigsby Ln, Safety Harbor, FL, 34695-4828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932207206
Provider Name
Back-2-life Of Floridea
Credential
Provider Entity Type
Organization
Address
2905 Rigsby Ln, Safety Harbor, FL, 34695-4828
Phone Number
727-797-0500
Fax Number
727-797-0050
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99652 01 FL BCBS GROUP NUMBER
1447270566 01 FL GROTEKE NPI #
9067913 01 FL CIGNA
1147626 01 FL FIRST HEALTH
9067913 01 FL DR. ERIC GROTEKE
71494 01 FL BLUE CROSS/BLUE SHIELD
ME97457 01 FL RHODES LICENSE #
1038157 01 FL AMERICAN SPECIALTY HEALTH
656080 01 FL ACN GROUP
CH8146 01 FL STAFFORD'S LICENSE
1750349301 01 FL RHODES NPI #
1770650574 01 FL STAFFORD'S NPI #
656080 01 FL UNITED HEALTH CARE
CH8772 01 FL GROTEKE'S LICENSE #
institution
Provider Business Practice Location Address Details
Address
2905 Rigsby Ln
City
Safety Harbor
State
Florida
Zip
34695-4828
Phone Number
727-797-0500
Fax Number
727-797-0050
person
Provider Business Mailing Address Details
Address
2905 Rigsby Ln
City
Safety Harbor
State
Florida
Zip
34695-4828
Phone Number
727-797-0500
Fax Number
727-797-0050
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
ME 97457 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
CH9772 (Florida)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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