Life Back Enterprises, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFE BACK ENTERPRISES, INC

Practice address

2506 Success Dr
Odessa, FL 33556-3400

Phone

(727) 376-2003

Fax

(727) 376-4160

NPI assigned

Feb 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Cavalieri Sr.

Title

Owner/Ceo

Phone

(727) 376-2003

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1346428547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 SUCCESS DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563400",
            "telephone_number": "727-376-2003",
            "fax_number": "727-376-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 SUCCESS DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563400",
            "telephone_number": "727-376-2003",
            "fax_number": "727-376-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BACK ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "CAVALIERI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "727-376-2003",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.