Provider Demographics
NPI:1528571122
Name:BACK BRACES PLUS, INC
Entity Type:Organization
Organization Name:BACK BRACES PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:JOEY
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:727-685-5904
Mailing Address - Street 1:9365 US HIGHWAY 19 N STE A
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5400
Mailing Address - Country:US
Mailing Address - Phone:727-685-5904
Mailing Address - Fax:727-685-5953
Practice Address - Street 1:9365 US HIGHWAY 19 N STE A
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5400
Practice Address - Country:US
Practice Address - Phone:727-685-5904
Practice Address - Fax:727-685-5953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies