Back to Me LLC
NPI #1538915392 in South Daytona, Florida
Provider Information
- NPI Number
- 1538915392
- Entity Type
- Organization
- Organization Name
- Back to Me LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 24, 2024
- Last Updated
- Apr 24, 2024
Practice Location
- Address
- 2090 S NOVA RD STE A127
- City
- South Daytona
- State
- Florida
- ZIP Code
- 32119-8841
- Phone
- (386) 341-6256
Authorized Official
- Name
- RHODA MARIE MOTEN, CRANIAL PROTHESIS SP
- Title
- OWER
- Phone
- (386) 341-6256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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