Back to Life LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9715 Issued in FL

Legal business name

BACK TO LIFE LLC

Practice address

2323 NE 26TH Ave
Pompano Beach, FL 33062-1147

Phone

(754) 300-4660

Fax

(954) 943-2280

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jefferson, D.C.

Title

President

Phone

(407) 913-8285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1356621700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NE 26TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621147",
            "telephone_number": "754-300-4660",
            "fax_number": "954-943-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NE 26TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621147",
            "telephone_number": "754-300-4660",
            "fax_number": "954-943-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-913-8285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn L Babcock, RNFA
• Lorraine Babyak
• Shahaf Bachar
• Bachoo Singh MD PA
• Bianca Krystal Bachoo
• Adriana Diaz Backer, D.D.S, M.S.D
• Honora C Bacon, B.A
• Bacus Chiropractic, Inc.
• Catherine Ann Badalucca
• Kyung Ja Baek, DDS

• Chiropractor in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.