| Doctor Name: | ROBERT ERIGO-BACKSMAN |
| NPI Number: | 1033589445 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | ARNP9258522 |
| Business Practice Address: | 37920 Medical Arts Ct Zephyrhills, FL - 335414323 |
| Business Phone Number: | 3525182000 |
| Business Fax Number: | 3525670218 |
| Mailing Address: | Po Box 232, DADE CITY |
| State: | FL |
| Postal Code: | 335260232 |
| Phone Number: | 3525182000 |
| Fax Number: | 3525670218 |
| NPI Enumeration Date: | 09/28/2015 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP9258522 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |