NPI Provider: 1679795199
Contact Name: kirk rachelle
Position: owner
Phone: (386) 439-9099
Back In Action Of Florida Information:
Back In Action Of Florida organization have npi 1679795199, taxonomy code is 111N00000X with license number is in . This Business address located in 99 old king's rd south, flagler beach, FL 32136 Florida.
Practice Location
Address: 99 old king's rd south, flagler beach, FL 32136
Phone: (386) 439-9099
Business Location
Address: 99 old king's rd south, flagler beach, FL 32136
Phone: (386) 439-9099
Fax: (386) 439-9091
Taxonomy
Taxonomy Code: 111N00000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 5/3/2007
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