BACK TO LIFE LLC (NPI# 1356621700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356621700 |
| Entity Type | Organization |
| Organization Name | BACK TO LIFE LLC |
| Practice Address |
2323 Ne 26th Ave Pompano Beach FL 33062-1147 |
| Practice Telephone | 7543004660 |
| Practice Fax Number | 9549432280 |
| Mailing Telephone | 7543004660 |
| Mailing Fax Number | 9549432280 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | DR. MICHAEL JEFFERSON (PRESIDENT) |
| Authorized Official Telephone | 4079138285 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH9715 | FL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063014 | Back To Life LLC | Home Health | 305 E 1st St, Malvern, IA 51551-8008 | 2019-09-21 |
| 1093038010 | Back To Life LLC | Chiropractor | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2010-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | BACK TO LIFE LLC | 360 Naugatuck Ave., Milford, CT 06461 |
| Colorado Business Entities | Back to Life LLC | 7203 Arkansas St, Frederick, CO 80530 |
| Street Address |
2323 NE 26TH AVE |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33062-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336252873 | Thomas Craig Worcester | Dentist | 2323 Ne 26th Ave, Suite 104, Pompano Beach, FL 33062-1147 | 2006-08-17 |
| 1942544523 | Cleberton Bastos, P.a. | Chiropractor | 2323 Ne 26th Ave, Pompano Beach, FL 33062-1147 | 2012-11-20 |
| 1013268028 | Cleberton Sousa Bastos | Chiropractor | 2323 Ne 26th Ave, 109, Pompano Beach, FL 33062-1147 | 2012-10-01 |
| 1174829014 | Marcelo Toshio Yasuda | Chiropractor | 2323 Ne 26th Ave, Suite 109, Pompano Beach, FL 33062-1147 | 2011-02-09 |
| 1437386745 | Michael Donald Jefferson | Chiropractor | 2323 Ne 26th Ave, Pompano Beach, FL 33062-1147 | 2009-06-12 |
| 1942427869 | Natalia Alvarado Stadler | Dentist | 2323 Ne 26th Ave, Suite 110, Pompano Beach, FL 33062-1147 | 2007-04-20 |
| 1093892473 | Coastal Chiropractic Pa | Chiropractor | 2323 Ne 26th Ave, Suite 109, Pompano Beach, FL 33062-1147 | 2006-11-01 |
| 1770660151 | Gene A Perkins Jr. | Chiropractor | 2323 Ne 26th Ave, Suite 109, Pompano Beach, FL 33062-1147 | 2006-11-01 |
| 1558450015 | Marc A. Sander, D.d.s., P.a. | Dentist | 2323 Ne 26th Ave, Suite 108, Pompano Beach, FL 33062-1147 | 2006-10-12 |
| 1154433555 | Paula Ellen Peet | Chiropractor | 2323 Ne 26th Ave, Suite 109, Pompano Beach, FL 33062-1147 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
| 1124537634 | Aaron Gabriel Grossman | General Practice | 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 | 2017-09-27 |
| 1790215309 | Daylis Perez-borroto Rodriguez | Dentist | 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 | 2017-06-15 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1336503689 | Adriana Diaz Backer | Dentist | 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 | 2016-04-12 |
| 1255723367 | Pierre G Lazore | Acupuncturist | 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 | 2015-02-26 |
| 1467870386 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2471 North Federal Highway, Pompano Beach, FL 33062 | 2014-03-29 |
| 1598192460 | Banyan Treatment and Recovery, LLC | Clinic/Center | 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 | 2013-10-08 |
| 1578905840 | Edwin C Delz | Dentist | 2323 Ne 26 Ave, Pompano Beach, FL 33062 | 2013-07-26 |
| Find all providers in zip 33062 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538538962 | Chiropractic Center of Pompano LLC | Chiropractor | 1301 E Atlantic Blvd, Suite 2, Pompano Beach, FL 33060-6741 | 2015-09-16 |
| 1609273705 | Florida Medical Injury, LLC | Chiropractor | 2301 W Sample Rd Ste 9a, Pompano Beach, FL 33073-3081 | 2014-12-04 |
| 1912319971 | Larry G Frydman | Chiropractor | 2745 E Atlantic Blvd, Suite 302, Pompano Beach, FL 33062-4952 | 2014-05-27 |
| 1366864837 | Chiro Elite LLC | Chiropractor | 2450 N Powerline Rd # 26, Pompano Beach, FL 33069-1051 | 2014-01-17 |
| 1073947925 | Abbott Chiropractic Services, Inc. | Chiropractor | 1150 E Atlantic Blvd, Suite C, Pompano Beach, FL 33060-7404 | 2013-08-28 |
| 1902154586 | Suncoast Health Clinic, Inc | Chiropractor | 3955 N. Federal Highway, Pompano Beach, FL 33064-6042 | 2012-08-29 |
| 1316229651 | Evan Justin Brofsky | Chiropractor | 1410 S Powerline Rd, Pompano Beach, FL 33069-4300 | 2011-09-13 |
| 1356636955 | The Broward Center for Pain and Injury, LLC | Chiropractor | 2450 N Powerline Rd, Suite 26, Pompano Beach, FL 33069-1051 | 2011-06-13 |
| 1760771976 | Joseph Fischetti | Chiropractor | 2755 W Atlantic Blvd, Suite 103, Pompano Beach, FL 33069-2625 | 2011-03-29 |
| 1841598737 | Linda Carol Abbott | Chiropractor | 1150 East Atlantic Boulevard, Suite C, Pompano Beach, FL 33060 | 2011-03-02 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33062 |
Please comment or provide details below to improve the information on BACK TO LIFE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.