Individual
DR. KATERINA ANGELIQUE BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2501 N ORANGE AVE, UNIT 514, ORLANDO, FL 32804-4603
(407) 303-5687
(407) 303-0806
Mailing address
2501 N ORANGE AVE, UNIT 514, ORLANDO, FL 32804-4603
(407) 303-5687
(407) 303-0806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME98967
FL
2080S0010X
Pediatric Sports Medicine Physician
Primary
ME98967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279148000
—
FL
Enumeration date
08/08/2007
Last updated
12/04/2020
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