Organization
BACK-2-LIFE OF FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC K GROTEKE DC (PARTNER)
(727) 797-0500
Entity
Organization
Contact information
Practice address
8250 BRYAN DAIRY RD, SUITE#310, LARGO, FL 33777-1353
(727) 797-0500
(727) 797-0050
Mailing address
2905 RIGSBY LN, SAFETY HARBOR, FL 34695-4828
(727) 797-0500
(727) 797-0057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71494
BCBS
FL
Enumeration date
03/12/2008
Last updated
03/12/2008
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