Backmds
Anesthesiology, Pain Medicine in Clearwater, FL. Organization (NPI-2).
NPI number1942626494
StatusActive
Last updated in NPPESMar 7, 2014
Details
- NPI
- 1942626494
- Entity type
- Organization (NPI-2)
- Legal business name
- Backmds
- Organization subpart
- No
- Enumeration date
- Mar 7, 2014
- Last updated
- Mar 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | ME115987 | FL | Yes |
Practice location
3006 Gulf To Bay BlvdClearwater, FL 33759-4313
Phone 727-488-5040
Mailing address
3006 Gulf To Bay BlvdClearwater, FL 33759-4313
Phone 727-488-5040
Authorized official
Walter Matthew Groteke
Owner
7274885040
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