| Doctor Name: | DR. TOBIAS BACANER |
| NPI Number: | 1023082658 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M>D> |
| License Number: | ME57418 |
| Business Practice Address: | 1695 Castlewood Lane Palm Harbor, FL - 34683 |
| Business Phone Number: | 8478269449 |
| Business Fax Number: | |
| Mailing Address: | 1695 Castlewood Ln, PALM HARBOR |
| State: | FL |
| Postal Code: | 34683 |
| Phone Number: | 8478269449 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME57418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |