Provider Demographics
NPI:1386342723
Name:BACKTOMIND H
Entity type:Organization
Organization Name:BACKTOMIND H
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:GADY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-986-4559
Mailing Address - Street 1:3990 SHERIDAN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3656
Mailing Address - Country:US
Mailing Address - Phone:954-986-4559
Mailing Address - Fax:954-986-4526
Practice Address - Street 1:6450 NW 5TH WAY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6112
Practice Address - Country:US
Practice Address - Phone:954-986-4559
Practice Address - Fax:954-986-4526
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BACKTOMIND H
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-15
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty