Individual
DR. JUSTIN ESAAM BABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2036
(407) 649-6876
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2036
(407) 649-6876
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13436
GA
2080P0206X
Pediatric Gastroenterology Physician
Primary
167067
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
05/15/2024
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