MEDICARE: BACKTOMIND H

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1992403323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACKTOMIND H

Provider Business Mailing Address
First Line	:	3990 SHERIDAN ST STE 201
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3656
Country	:	US
Telephone Number	:	954-986-4559
Fax Number	:	954-986-4526

Provider Business Practice Location Address
First Line	:	2825 N UNIVERSITY DR STE 100
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5020
Country	:	US
Telephone Number	:	954-986-4559
Fax Number	:	954-986-4526

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	GADY ABRAMSON
Credential	:	DC
Telephone Number	:	954-986-4559

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	11/08/2024

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Directions to “BACKTOMIND H ” Practice Location

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