Provider Demographics
NPI:1285153437
Name:BACK2NATURE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:BACK2NATURE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADDISON
Authorized Official - Middle Name:
Authorized Official - Last Name:O'DAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-574-3034
Mailing Address - Street 1:14040 CHICORA CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7744
Mailing Address - Country:US
Mailing Address - Phone:407-219-4920
Mailing Address - Fax:
Practice Address - Street 1:13001 FOUNDERS SQUARE DR # 207
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7709
Practice Address - Country:US
Practice Address - Phone:407-219-4920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty