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Individual

MICHELE RENEE BABIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3809 E STATE ROAD 64, BRADENTON, FL 34208-9041
(941) 748-1848
(941) 748-1881
Mailing address
1250 S TAMIAMI TRL, SUITE 201, SARASOTA, FL 34239-2221
(941) 363-0878
(941) 363-0527

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01050539A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000514647
ANTHEM PIN
IN
05
200238380
IN
Enumeration date
08/17/2006
Last updated
04/15/2013
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