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 |
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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 | Susan V Ville |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801863402 PECOS PAC ID: 5496837940 Enrollment ID: I20080123000609 |
Provider Name | Devin K Datta |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1821062290 PECOS PAC ID: 3971686270 Enrollment ID: I20080211000069 |
Provider Name | Richard A Hynes |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184697450 PECOS PAC ID: 4486636388 Enrollment ID: I20080212000548 |
Provider Name | Syed Farhan H Zaidi |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1215940564 PECOS PAC ID: 3173539699 Enrollment ID: I20101020000963 |
Provider Name | Melissa A Burgos-martir |
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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 |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1477823904 PECOS PAC ID: 5597991869 Enrollment ID: I20180320000356 |
Provider Name | Michael H Cronin |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831519909 PECOS PAC ID: 5193063196 Enrollment ID: I20190218001943 |
Provider Name | Jessica Herraiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528406402 PECOS PAC ID: 3678716370 Enrollment ID: I20200813001646 |
Mailing Address | Practice Location Address |
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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 |