Organization
BACK TO NORMAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY A DULL (AUTHORIZED OFFICIAL)
(850) 437-1937
Entity
Organization
Contact information
Practice address
217 E INTENDENCIA ST, PENSACOLA, FL 32502-6022
(850) 437-1937
(800) 785-5684
Mailing address
217 E INTENDENCIA ST, PENSACOLA, FL 32502-6022
(850) 512-0711
(800) 785-5684
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PT18460
FL
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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