Provider Demographics
NPI:1013124437
Name:BACK-RUBS TO GO, INC.
Entity type:Organization
Organization Name:BACK-RUBS TO GO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:VIZZONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-948-4923
Mailing Address - Street 1:20500 COT RD
Mailing Address - Street 2:# 458
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5100
Mailing Address - Country:US
Mailing Address - Phone:813-948-4923
Mailing Address - Fax:813-948-4923
Practice Address - Street 1:20500 COT RD
Practice Address - Street 2:# 458
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5100
Practice Address - Country:US
Practice Address - Phone:813-948-4923
Practice Address - Fax:813-948-4923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty