| The Back Center | |
|
2222 S. Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 | |
| (321) 723-7716 | |
| (321) 723-0604 |
| Full Name | The Back Center |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 2222 S. Harbor City Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548237100 | NPI | - | NPPES |
| 040225700 | Medicaid | FL |
| Provider Name | Anne C Gregg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295708568 PECOS PAC ID: 4880649532 Enrollment ID: I20050316000280 |
| Provider Name | Devin K Datta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821062290 PECOS PAC ID: 3971686270 Enrollment ID: I20080211000069 |
| Provider Name | Richard A Hynes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184697450 PECOS PAC ID: 4486636388 Enrollment ID: I20080212000548 |
| Provider Name | Damian L Velez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871566208 PECOS PAC ID: 4587748884 Enrollment ID: I20080226000234 |
| Provider Name | Syed Farhan H Zaidi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215940564 PECOS PAC ID: 3173539699 Enrollment ID: I20101020000963 |
| Provider Name | Amanda A Folkers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285988279 PECOS PAC ID: 2264670322 Enrollment ID: I20130530000678 |
| Provider Name | Casey W Langel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346662103 PECOS PAC ID: 0547499949 Enrollment ID: I20140205001327 |
| Provider Name | Melissa A Burgos-martir |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821390584 PECOS PAC ID: 1658647755 Enrollment ID: I20171017002786 |
| Provider Name | Regina Luwanda Morris Solis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1477823904 PECOS PAC ID: 5597991869 Enrollment ID: I20180320000356 |
| Provider Name | Michael H Cronin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831519909 PECOS PAC ID: 5193063196 Enrollment ID: I20190218001943 |
| Provider Name | Emily K Finn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336623347 PECOS PAC ID: 4880931542 Enrollment ID: I20210510000147 |
| Mailing Address | Practice Location Address |
|---|---|
| The Back Center 2222 S. Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 Ph: (321) 723-7716 | The Back Center 2222 S. Harbor City Blvd, Suite 610, Melbourne, FL 32901-5591 Ph: (321) 723-7716 |