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Individual

JACOB BABINEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712
Mailing address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114162
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UVNI8
BCBS
FL
Enumeration date
10/28/2019
Last updated
05/27/2022
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