Back On Track,llc.
Clinic/Center in Sarasota, FL. Organization (NPI-2).
NPI number1821269101
StatusActive
Last updated in NPPESMar 14, 2008
Details
- NPI
- 1821269101
- Entity type
- Organization (NPI-2)
- Legal business name
- Back On Track,llc.
- Organization subpart
- No
- Enumeration date
- Mar 14, 2008
- Last updated
- Mar 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
8404 S Tamiami TrlSarasota, FL 34238-2936
Phone 407-702-3492
Mailing address
8404 S Tamiami TrlSarasota, FL 34238-2936
Phone 407-702-3492
Authorized official
Thomas Hynds
Ceo
4077023492
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