# BACK IN ACTION MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1093183733
- **Authorized official:** ROBERT MCLAUGHLIN (OWNER)
- **Authorized official phone:** (772) 324-9337

## Contact information

- **Practice address:** 2351 SW MARTIN HWY, PALM CITY, FL 34990-3222
- **Practice address phone:** (772) 324-9337
- **Practice address fax:** (772) 324-9347
- **Mailing address:** 2351 SW MARTIN HWY, PALM CITY, FL 34990-3222
- **Mailing address phone:** (772) 324-9337
- **Mailing address fax:** (772) 324-9347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | FL | Yes |
| 363A00000X | Physician Assistant | — | FL | — |

## Other

- **Enumeration date:** 09/11/2015
- **Last updated:** 01/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 99VRH | BCBS FL | FL |