Back2nature Inc | |
2000 Rio De Janeiro Ave Ste 5 Punta Gorda FL 33983-8649 | |
(941) 456-7949 | |
Not Available |
Full Name | Back2nature Inc |
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Speciality | Social Worker |
Location | 2000 Rio De Janeiro Ave Ste 5, Punta Gorda, Florida |
Authorized Official Name and Position | Tania M Garcia (OWNER) |
Authorized Official Contact | 9414567949 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Back2nature Inc 2000 Rio De Janeiro Ave Ste 5 Punta Gorda FL 33983-8649 Ph: (941) 456-7949 | Back2nature Inc 2000 Rio De Janeiro Ave Ste 5 Punta Gorda FL 33983-8649 Ph: (941) 456-7949 |
NPI Number | 1386197853 |
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Provider Enumeration Date | 08/01/2016 |
Last Update Date | 02/15/2017 |
Medicare PECOS PAC ID | 3870870827 |
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Medicare Enrollment ID | O20170501001571 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386197853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Tania Milagro Garcia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811936115 PECOS PAC ID: 4789961731 Enrollment ID: I20170501001635 |
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