Individual
CARL R NOBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 MIDNIGHT PASS RD, SUITE 4, SARASOTA, FL 34242-3083
(561) 400-9900
(888) 398-3187
Mailing address
5700 MIDNIGHT PASS RD, SUITE 4, SARASOTA, FL 34242-3083
(561) 400-9900
(888) 398-3187
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME82169
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME82169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76568R
MEDICARE
FL
Enumeration date
12/20/2005
Last updated
08/25/2014
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