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Martin Back, MD
Vascular Surgery Physician in Tampa, Florida
NPI 1962414342

Martin Back is a Vascular Surgery Physician based in Orlando, FL and is specialized in Vascular Surgery. Martin Back practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Martin Back is 1962414342 and holds a License No. ME71212 (Florida).

The current practice location address for Martin Back is 12901 Bruce B Downs Blvd, Tampa, FL and can be reached out via phone at 813-259-0956. You can also correspond with Martin Back through the mailing address at PO BOX 917770, ORLANDO, FL - 32891-7770 (mailing address contact number: ).

Location: 12901 Bruce B Downs Blvd, Tampa, FL, 32891-7770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962414342
Provider Name
Martin Back
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12901 Bruce B Downs Blvd, Tampa, FL, 32891-7770
Phone Number
813-259-0956
Fax Number
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
254458000 05 FL
43628 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-259-0956
Fax Number
person
Provider Business Mailing Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-259-0956
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
ME71212 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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