Healthcare Provider Details

I. General information

NPI: 1023926862
Provider Name (Legal Business Name): BACK TO HEALTH MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8326 SW 8TH ST
MIAMI FL
33144-4180
US

IV. Provider business mailing address

8326 SW 8TH ST
MIAMI FL
33144-4180
US

V. Phone/Fax

Practice location:
  • Phone: 786-597-7090
  • Fax:
Mailing address:
  • Phone: 786-597-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GISELA MEDRANO
Title or Position: OWNER
Credential:
Phone: 305-265-7505