MEDICARE: ANDREW S LABBIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2088P0231X	Pediatric Urology Physician	ME55737	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000853	OTHER	FL	NEIGHBORHOOD HEALTH PARTNERSHIP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7911585	OTHER	FL	GHI
4	151912	OTHER	FL	WELLCARE
5	151912	OTHER	FL	STAYWELL
6	54415	OTHER	FL	SCFN
7	015080	OTHER	FL	AVMED
8	09409	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1053357913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW S LABBIE MD

Provider Business Mailing Address
First Line	:	PO BOX 277279
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-7279
Country	:	US
Telephone Number	:	800-243-3839
Fax Number	:	855-527-5510

Provider Business Practice Location Address
First Line	:	3200 SW 60TH CT STE 104
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4069
Country	:	US
Telephone Number	:	305-669-6448
Fax Number	:	305-663-8485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	04/25/2018

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Directions to “ ANDREW S LABBIE MD” Practice Location

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