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Organization
NECK & BACK CARE CENTER INC
Active
Organization
NECK & BACK CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY B. OLIVERIO D.C. (OWNER)
(352) 563-5055
Entity
Organization
Contact information
Practice address
912 NE 5TH ST, HWY 44, CRYSTAL RIVER, FL 34429-4444
(352) 563-5055
(352) 563-5069
Mailing address
912 NE 5TH ST, HWY 44, CRYSTAL RIVER, FL 34429-4444
(352) 563-5055
(352) 563-5069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0007559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750303186
NPI INDIVIDUAL
FL
05
—
381129800
—
FL
01
—
55797
BCBS
FL
Enumeration date
11/30/2007
Last updated
10/23/2012
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