| Back & I Medical Llc | |
|
756 Elkcam Blvd Deltona FL 32725-2646 | |
| (407) 687-9625 | |
| Not Available |
| Full Name | Back & I Medical Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 756 Elkcam Blvd, Deltona, Florida |
| Authorized Official Name and Position | Belmar A Irizarry (OWNER) |
| Authorized Official Contact | 4076879625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back & I Medical Llc 705 Maple Leaf Loop Winter Springs FL 32708-0002 Ph: (407) 687-9625 | Back & I Medical Llc 756 Elkcam Blvd Deltona FL 32725-2646 Ph: (407) 687-9625 |
| NPI Number | 1639634678 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639634678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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