Doctor Name: | KARL ERIC BACKMAN |
NPI Number: | 1649306820 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME76676 |
Business Practice Address: | 330 Sw 27th Ave Fort Lauderdale, FL - 333122051 |
Business Phone Number: | 9547914300 |
Business Fax Number: | 9544973857 |
Mailing Address: | 395 Ne 100th St, MIAMI SHORES |
State: | FL |
Postal Code: | 331382420 |
Phone Number: | 3057543235 |
Fax Number: | 9544973857 |
NPI Enumeration Date: | 02/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME76676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |