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Individual

DR. NATHAN E BACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
298 S YONGE ST, ORMOND BEACH, FL 32174-6264
(386) 274-7800
Mailing address
298 S YONGE ST, ORMOND BEACH, FL 32174-6264
(386) 274-7800

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14276
FL
207P00000X
Emergency Medicine Physician
Primary
14627
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2014
Last updated
10/06/2020
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