# LIFE BACK ENTERPRISES, INC

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

## Provider details

- **NPI number:** 1346428547
- **Authorized official:** WILLIAM CAVALIERI SR. (OWNER/CEO)
- **Authorized official phone:** (727) 376-2003

## Contact information

- **Practice address:** 2506 SUCCESS DR, ODESSA, FL 33556-3400
- **Practice address phone:** (727) 376-2003
- **Practice address fax:** (727) 376-4160
- **Mailing address:** 2506 SUCCESS DR, ODESSA, FL 33556-3400
- **Mailing address phone:** (727) 376-2003
- **Mailing address fax:** (727) 376-4160

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 02/13/2012