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DR. JOHN C BACKE MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447258900

Individual Registrant:
DR. JOHN C BACKE MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1328 COASTAL HWY  PANACEA, FL 32346-2151 US
Tel: 850-984-4735  Fax: 850-984-4742

Contact information for business:
535 JOHN KNOX RD  TALLAHASSEE, FL 32303-4117 US
Tel: 850-385-4494  Fax: 850-298-6050

Registration Information:
NPI: 1447258900
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME31713

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS62131FL01
MEDICARE PART B, GROUP PTAN99388FL01
044872900FL05




HEALTH CARE JOBS FL - Page 1



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