Provider Demographics
NPI:1558581371
Name:BACK2HEALTH LLC
Entity Type:Organization
Organization Name:BACK2HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OVIDIU
Authorized Official - Middle Name:CIPRIAN
Authorized Official - Last Name:REGOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-658-0000
Mailing Address - Street 1:7824 LAKE UNDERHILL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8201
Mailing Address - Country:US
Mailing Address - Phone:407-658-0000
Mailing Address - Fax:407-658-9222
Practice Address - Street 1:7824 LAKE UNDERHILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8201
Practice Address - Country:US
Practice Address - Phone:407-658-0000
Practice Address - Fax:407-658-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8845111N00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty