| NPI | 1164716676 |
|---|---|
| Doing Business As | THE BACK CENTER |
| Entity Type | Organization |
| Authorized Contact | KATRINA LOPEZ Credentialing 321-541-1537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2021-07-15 |