Active NPI
Back 2 Life of Florida
- Chiropractor
- Spring Hill, FL
National Provider Identifier
1215146303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8772
- Legal business name
- BACK 2 LIFE OF FLORIDA
- Practice address
- 1226 Mariner Blvd
Spring Hill, FL 34609-5657 - Phone
- (352) 688-8770
- Fax
- (352) 688-8860
- NPI assigned
- May 22, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric K Groteke, D.C.
- Title
- Chiropractic Physician
- Phone
- (352) 688-8770
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8146 | FL | |
| Chiropractor | 111N00000X | CH8772 | FL | Primary |
Addresses
Primary practice location
1226 Mariner Blvd
Spring Hill, FL 34609-5657
Mailing address
2905 Rigsby LN
Safety Harbor, FL 34695-4828
Phone (727) 797-0500
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 656080 | Other | FL | UNITED HEALTH CARE |
| 71494 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1147626 | Other | FL | FIRST HEALTH |
| 1447270566 | Other | FL | NPI NUMBER E GROTEKE |
| 1038157 | Other | FL | AMERICAN SPECIALTY HEALTH |
| 1770650574 | Other | FL | NPI NUMBER D STAFFORD |
| 9067913 | Other | FL | CIGNA |
| 70112 | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- Back 2 Life of Florida
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Largo, FL
- NPI 1831360361
-
- Military Health Care Provider
- Safety Harbor, FL
- NPI 1932207206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215146303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 RIGSBY LN",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346954828",
"telephone_number": "727-797-0500",
"fax_number": "727-797-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 MARINER BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346095657",
"telephone_number": "352-688-8770",
"fax_number": "352-688-8860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK 2 LIFE OF FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GROTEKE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "352-688-8770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8146",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "656080",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "71494",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1147626",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER E GROTEKE",
"identifier": "1447270566",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH",
"identifier": "1038157",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER D STAFFORD",
"identifier": "1770650574",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9067913",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "70112",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.