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Organization

BACK-2-LIFE OF FLORIDEA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC K GROTEKE D.C. (CHIROPRACTOR PHYSICIAN)
(727) 797-0500
Entity
Organization

Contact information

Practice address
2905 RIGSBY LN, SAFETY HARBOR, FL 34695-4828
(727) 797-0500
(727) 797-0050
Mailing address
2905 RIGSBY LN, SAFETY HARBOR, FL 34695-4828
(727) 797-0500
(727) 797-0050

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9772
FL
171000000X
Military Health Care Provider
Primary
ME 97457
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1038157
AMERICAN SPECIALTY HEALTH
FL
01
1147626
FIRST HEALTH
FL
01
1447270566
GROTEKE NPI #
FL
01
1750349301
RHODES NPI #
FL
01
1770650574
STAFFORD'S NPI #
FL
01
656080
ACN GROUP
FL
01
71494
BLUE CROSS/BLUE SHIELD
FL
01
9067913
CIGNA
FL
01
99652
BCBS GROUP NUMBER
FL
01
CH8146
STAFFORD'S LICENSE
FL
01
CH8772
GROTEKE'S LICENSE #
FL
01
ME97457
RHODES LICENSE #
FL
Enumeration date
09/20/2006
Last updated
09/11/2025
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