Organization
LIFE BACK ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CAVALIERI SR. (OWNER/CEO)
(727) 376-2003
Entity
Organization
Contact information
Practice address
2506 SUCCESS DR, ODESSA, FL 33556-3400
(727) 376-2003
(727) 376-4160
Mailing address
2506 SUCCESS DR, ODESSA, FL 33556-3400
(727) 376-2003
(727) 376-4160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
02/13/2012
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