Organization
BACK TO LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JEFFERSON D.C. (PRESIDENT)
(407) 913-8285
Entity
Organization
Contact information
Practice address
2323 NE 26TH AVE, POMPANO BEACH, FL 33062-1147
(754) 300-4660
(954) 943-2280
Mailing address
2323 NE 26TH AVE, POMPANO BEACH, FL 33062-1147
(754) 300-4660
(954) 943-2280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9715
FL
Other
Enumeration date
08/17/2011
Last updated
08/25/2011
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