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:
Map and Directions
Authorized official contact:
Name: Lopez, Katrina
Phone: (321) 541-1537

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003100504 NPPES
Florida Other 99949 MEDICARE
Florida MEDICAID 040225700 MEDICARE

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