MARTIN BACK

TAMPA, FL
NPI1962414342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: FL  ME71212)
Enumeration Date2006-08-13
Last Update Date2017-02-07
Business Address
-- MARTIN BACK MD
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4742
Phone number: 813-259-0956
Mailing Address
-- MARTIN BACK MD
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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