# BACK-2-LIFE OF FLORIDEA

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

## Provider details

- **NPI number:** 1932207206
- **Authorized official:** DR. ERIC K GROTEKE D.C. (CHIROPRACTOR PHYSICIAN)
- **Authorized official phone:** (727) 797-0500

## Contact information

- **Practice address:** 2905 RIGSBY LN, SAFETY HARBOR, FL 34695-4828
- **Practice address phone:** (727) 797-0500
- **Practice address fax:** (727) 797-0050
- **Mailing address:** 2905 RIGSBY LN, SAFETY HARBOR, FL 34695-4828
- **Mailing address phone:** (727) 797-0500
- **Mailing address fax:** (727) 797-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH9772 | FL | — |
| 171000000X | Military Health Care Provider | ME 97457 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/11/2025
