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General NPI Number Information
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NPI Number | 1417065210
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Entity Type | Organization
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Legal Business Name | BACK TO HEALTH WELLNESS CENTER,INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2920 UNIVERSITY PKWY
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City | SARASOTA
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State | FL
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Zip | 34243-2412
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Country | US
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Telephone | 941-351-2555
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Fax | 941-359-8657
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Provider Business Mailing Address
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Address Line | 2920 UNIVERSITY PKWY
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City | SARASOTA
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State | FL
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Zip | 34243-2412
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Country | US
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Telephone | 941-351-2555
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Fax | 941-359-8657
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DONNA L WEISS
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Credential |
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Telephone | 941-351-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6785
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT15223
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License Number State | FL
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