The Back Center
LBN: Brevard Orthopaedic Spine & Pain Clinic Inc
The Back Center is an health care organization with primary practice located at 2222 S Harbor City Blvd Suite 530, Melbourne FL 32901-5594. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Brevard Orthopaedic Spine & Pain Clinic Inc can be contacted via phone (321) 723-7716, or through Lopez, Katrina via phone (321) 541-1537.
Contact Information
Primary practice address
2222 S Harbor City Blvd Suite 530
Melbourne FL 32901-5594
Phone: (321) 723-7716
Fax: (321) 723-0604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1003100504 |
|---|---|
| LBN Legal business name | Brevard Orthopaedic Spine & Pain Clinic Inc |
| DBA Doing business as | The Back Center |
| Authorized official | Lopez, Katrina |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 2nd, 2011 |
| Last updated | Jul 15th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003100504 | NPPES |
| Florida | Other | 99949 | MEDICARE |
| Florida | MEDICAID | 040225700 | MEDICARE |
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