Katerina Angelique Backus in Orlando - Sports Medicine
Katerina Angelique Backus - NPI 1326239872
Katerina Angelique Backus is a Sports Medicine in Orlando, Florida. Katerina Angelique Backus practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Katerina Angelique Backus is 1326239872. The last update date is 2020-12-04.
Katerina Angelique Backus's current location address is 2501 N Orange Ave, Orlando, Florida. You can contact this provider via phone number 4073035687 and fax number 4073030806. The mailing address for Katerina Angelique Backus is 2501 N Orange Ave, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katerina Angelique Backus |
|---|---|
| Address | 2501 N Orange Ave, Orlando, Florida |
| Phone Number | 4073035687 |
| Fax Number | 4073030806 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1326239872 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2020-12-04 |
Provider Mailing Address Detail
| Address | 2501 N Orange Ave |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328044603 |
| Phone Number | 4073035687 |
| Fax Number | 4073030806 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | ME98967 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 279148000 | FL | -- |
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What is the unique 10-digit identification code assigned to Katerina Angelique Backus by the Centers for Medicare & Medicaid Services?
The Katerina Angelique Backus has been issued the NPI (National Provider Identifier) 1326239872, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Katerina Angelique Backus located?
The Katerina Angelique Backus is located at 2501 N Orange Ave, Orlando, FL 328044603.
What is Katerina Angelique Backus's area of expertise and its corresponding taxonomy classification?
The Katerina Angelique Backus's field of specialization is Sports Medicine, and it falls under the taxonomy code 2080S0010X, which categorizes healthcare providers based on their areas of practice.
On what date did the Katerina Angelique Backus receive its 1326239872 assignment from the Centers for Medicare & Medicaid Services?
The Katerina Angelique Backus was assigned its 1326239872 by the Centers for Medicare & Medicaid Services on 2007-08-08.
When was the Katerina Angelique Backus's information last updated?
The Katerina Angelique Backus's information was last updated on 2020-12-04.