# MIAMI BACK INSTITUTE

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

## Provider details

- **NPI number:** 1497828933
- **Authorized official:** DR. GARY ALAN ROBERTSON D.C. (PRESIDENT)
- **Authorized official phone:** (305) 461-4848

## Contact information

- **Practice address:** 315 PALERMO AVE, CORAL GABLES, FL 33134-6607
- **Practice address phone:** (305) 461-4848
- **Practice address fax:** (305) 461-4899
- **Mailing address:** 1825 PONCE DE LEON BLVD \# 387, CORAL GABLES, FL 33134-4418
- **Mailing address phone:** (305) 461-4848
- **Mailing address fax:** (305) 461-4899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020