Organization
ATLANTIC VISITING PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABUR H BHATTI MD (P, T)
(703) 609-6430
Entity
Organization
Contact information
Practice address
6310 BEACH BLVD, JACKSONVILLE, FL 32216-2708
(904) 551-9757
(904) 551-9701
Mailing address
6310 BEACH BLVD, JACKSONVILLE, FL 32216-2708
(904) 551-9757
(904) 551-9701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17113
BCBS FL
FL
01
—
WBPPL
BCBS FL
FL
Enumeration date
02/12/2021
Last updated
02/12/2021
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