# BACK2SLEEP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013167774
- **Authorized official:** MR. WALTER MATTHEW GROTEKE (PRESIDENT)
- **Authorized official phone:** (813) 377-5416

## Contact information

- **Practice address:** 12875 COMMODITY PL, TAMPA, FL 33626-3104
- **Practice address phone:** (813) 377-5416
- **Practice address fax:** (253) 799-3853
- **Mailing address:** 303 MAIN ST UNIT 143, SAFETY HARBOR, FL 34695-9706
- **Mailing address phone:** (813) 377-5416
- **Mailing address fax:** (253) 799-3853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 08/16/2015