Martin Back is a Vascular Surgery in Tampa, Florida. Martin Back practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Martin Back is 1962414342. The last update date is 2017-02-07.
Martin Back's current location address is 12901 Bruce B Downs Blvd, Tampa, Florida. You can contact this provider via phone number 8132590956. The mailing address for Martin Back is 12901 Bruce B Downs Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Back |
|---|---|
| Address | 12901 Bruce B Downs Blvd, Tampa, Florida |
| Phone Number | 8132590956 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962414342 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2017-02-07 |
Provider Mailing Address Detail
| Address | 12901 Bruce B Downs Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336124742 |
| Phone Number | 8132590956 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | ME71212 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 254458000 | FL | -- | |
| 43628 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Martin Back by the Centers for Medicare & Medicaid Services?
The Martin Back has been issued the NPI (National Provider Identifier) 1962414342 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Martin Back's facilities are situated?
The facilities of Martin Back are physically located at the following address: 12901 Bruce B Downs Blvd, Tampa, FL, 336124742.
What is Martin Back's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martin Back's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
When did Martin Back receive its 1962414342 assignment?
The Martin Back was assigned its 1962414342 on 2006-08-13, which is the date when this unique identifier was issued to the organization.
When was the information related to Martin Back most recently updated or refreshed?
The details pertaining to the Martin Back, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-02-07.
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