Organization
BACK 2 LIFE OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC K GROTEKE D.C. (CHIROPRACTIC PHYSICIAN)
(352) 688-8770
Entity
Organization
Contact information
Practice address
1226 MARINER BLVD, SPRING HILL, FL 34609-5657
(352) 688-8770
(352) 688-8860
Mailing address
2905 RIGSBY LN, SAFETY HARBOR, FL 34695-4828
(727) 797-0500
(727) 797-0050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8146
FL
111N00000X
Chiropractor
Primary
CH8772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038157
AMERICAN SPECIALTY HEALTH
FL
01
—
1147626
FIRST HEALTH
FL
01
—
1447270566
NPI NUMBER E GROTEKE
FL
01
—
1770650574
NPI NUMBER D STAFFORD
FL
01
—
656080
UNITED HEALTH CARE
FL
01
—
70112
BLUE CROSS BLUE SHIELD
FL
01
—
71494
BLUE CROSS BLUE SHIELD
FL
01
—
9067913
CIGNA
FL
Enumeration date
05/22/2007
Last updated
08/22/2020
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