Organization
BACK2SLEEP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER MATTHEW GROTEKE (PRESIDENT)
(813) 377-5416
Entity
Organization
Contact information
Practice address
12875 COMMODITY PL, TAMPA, FL 33626-3104
(813) 377-5416
(253) 799-3853
Mailing address
303 MAIN ST UNIT 143, SAFETY HARBOR, FL 34695-9706
(813) 377-5416
(253) 799-3853
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
08/16/2015
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