Organization
LIFE BACK, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY I. CAVALIERI (OWNER)
(727) 376-9410
Entity
Organization
Contact information
Practice address
8018 OLD COUNTY ROAD 54, NEW PORT RICHEY, FL 34653
(727) 376-9410
(727) 376-4160
Mailing address
8018 OLD COUNTY ROAD 54, NEW PORT RICHEY, FL 34653
(727) 376-9410
(727) 376-4160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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