Healthcare Provider Details

I. General information

NPI: 1992837165
Provider Name (Legal Business Name): BACK TO HEALTH REHAB & WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 09/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13901 US HIGHWAY 1 SUITE 5
JUNO BEACH FL
33408-1612
US

IV. Provider business mailing address

13901 US HIGHWAY 1 SUITE 5
JUNO BEACH FL
33408-1612
US

V. Phone/Fax

Practice location:
  • Phone: 561-626-9200
  • Fax: 561-626-9238
Mailing address:
  • Phone: 561-626-9200
  • Fax: 561-626-9238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PAULA A NEWMARK
Title or Position: OWNER
Credential: D.C.
Phone: 561-626-9200