Organization Active NPI

Back & I Medical LLC

  • Primary Care Clinic/Center
  • Deltona, FL
National Provider Identifier
1639634678
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BACK & I MEDICAL LLC
Practice address
756 Elkcam Blvd
Deltona, FL 32725-2646
Phone
(407) 687-9625
NPI assigned
Feb 4, 2019
Last updated
Feb 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Belmar A Irizarry, MD
Title
Owner
Phone
(407) 687-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

756 Elkcam Blvd
Deltona, FL 32725-2646

Mailing address

705 Maple Leaf Loop
Winter Springs, FL 32708-0002
Phone (407) 687-9625

National Provider Directory

National Provider Directory

Locations

756 Elkcam Blvd
Deltona, FL 32725
Phone (407) 687-9625

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1639634678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAPLE LEAF LOOP",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327080002",
            "telephone_number": "407-687-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 ELKCAM BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327252646",
            "telephone_number": "407-687-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK & I MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "BELMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-687-9625",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.