BACK IN ACTION MEDICAL CENTER LLC NPI 1093183733

NPI Information

  • NPI: 1093183733
  • Provider Name: BACK IN ACTION MEDICAL CENTER LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 10D2172330
  • Address: 2351 SW MARTIN HWY
    PALM CITY, FL
    ZIP 34990
  • Phone: (772) 324-9337

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NPI Details

BACK IN ACTION MEDICAL CENTER LLC is a general practice in Palm City, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BACK IN ACTION MEDICAL CENTER LLC NPI is 1093183733. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2351 SW MARTIN HWY
PALM CITY, FL
ZIP 34990-222
Phone: (772) 324-9337
Fax: (772) 324-9347

The provider's authorized official is Robert Mclaughlin .
The authorized official title is Owner and has the following contact phone number (772) 324-9337.

The CLIA number assigned to this NPI record is 10D2172330 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2015 and was last updated on 1/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyNo
2363A00000XPhysician AssistantFLORIDANo
3208D00000XGeneral PracticeFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
199VRHOTHERFLORIDABCBS FL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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