Individual
BRIAN A BABBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13691 METRO PKWY STE 120, FORT MYERS, FL 33912-4348
(239) 215-4066
(239) 237-2900
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
054064
GA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME100043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001863800
—
FL
01
—
2359360
CIGNA
FL
01
—
P00820733
RAILROAD MEDICARE
FL
01
—
P105177
FREEDOM HEALTH
FL
01
—
P929867
FREEDOM OPTIMUM
FL
Enumeration date
05/02/2006
Last updated
01/19/2023
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