Back to Wellness Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7554 Issued in FL

Legal business name

BACK TO WELLNESS CHIROPRACTIC INC

Practice address

409 W Bloomingdale Ave
Brandon, FL 33511-7401

Phone

(813) 685-7577

Fax

(813) 684-9145

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michele Miller Valdes, DC

Title

Owner

Phone

(813) 685-7577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Miller, DC

  • Chiropractor
  • Brandon, FL
  • NPI 1730394693
  Medicare reassignment NPD
• Robert Kevin Valdes, DC

  • Chiropractor
  • Brandon, FL
  • NPI 1063558146
  Medicare reassignment NPD
• Robert Fay Conine, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1841456944
  NPD
• Jacqueline L Fullerton, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1013108257
  NPD
• Jeffrey Lyle Davis, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1801962089
  NPD (past)
• Austin Gregory Williams

  • Chiropractor
  • Tampa, FL
  • NPI 1396201554
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1689889461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117401",
            "telephone_number": "813-685-7577",
            "fax_number": "813-684-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117401",
            "telephone_number": "813-685-7577",
            "fax_number": "813-684-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO WELLNESS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-685-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Ayyaz, M.D.
• Noor Azam, APRN
• Elizabeth Aziz, DO
• Dwayne Bacchus, DDS
• Melanie Adora Bachman
• Maylin Badal
• Ashley Bader, RN
• Moaaz Baghal, MD
• Rosa F Bahamonde
• Sahar Baig, MD

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.