Provider Demographics
NPI:1992837165
Name:BACK TO HEALTH REHAB & WELLNESS, INC.
Entity Type:Organization
Organization Name:BACK TO HEALTH REHAB & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEWMARK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-626-9200
Mailing Address - Street 1:13901 US HIGHWAY 1
Mailing Address - Street 2:SUITE 5
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-1612
Mailing Address - Country:US
Mailing Address - Phone:561-626-9200
Mailing Address - Fax:561-626-9238
Practice Address - Street 1:13901 US HIGHWAY 1
Practice Address - Street 2:SUITE 5
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-1612
Practice Address - Country:US
Practice Address - Phone:561-626-9200
Practice Address - Fax:561-626-9238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU74585Medicare UPIN