Organization
BACK2SLEEP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER MATTHEW GROTEKE (PRESIDENT/CEO)
(813) 367-3546
Entity
Organization
Contact information
Practice address
3001 N ROCKY POINT DR E, TAMPA, FL 33607-5810
(813) 367-3546
Mailing address
PO BOX 694, SAFETY HARBOR, FL 34695-0694
(813) 367-3546
(253) 799-3853
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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