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1962414342
MARTIN BACK
TAMPA, FL
NPI
1962414342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: FL ME71212)
Enumeration Date
2006-08-13
Last Update Date
2017-02-07
Business Address
-- MARTIN BACK MD
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4742
Phone number: 813-259-0956
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Mailing Address
-- MARTIN BACK MD
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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