Organization
TOTAL BACK CARE CENTER INC
Active
Other names
Total Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E PARENT MD (ADMINISTRATOR)
(239) 434-8707
Entity
Organization
Contact information
Practice address
130 TAMIAMI TRL N, SUITE 210, NAPLES, FL 34102-6224
(239) 434-8707
(239) 434-6343
Mailing address
130 TAMIAMI TRL N, SUITE 210, NAPLES, FL 34102-6224
(239) 434-8707
(239) 434-6343
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65W
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
01/10/2007
Last updated
08/22/2020
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