MEDICARE: BARBARA A LUBIN MD LLC

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	207QA0505X	Adult Medicine Physician	ME0052928	FL

General Provider Information

NPI Number	:	1235508292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA A LUBIN MD LLC

Provider Business Mailing Address
First Line	:	1124 JENKS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-2439
Country	:	US
Telephone Number	:	850-785-8246
Fax Number	:	850-785-8249

Provider Business Practice Location Address
First Line	:	1124 JENKS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-2439
Country	:	US
Telephone Number	:	850-785-8246
Fax Number	:	850-785-8249

Authorized Official
Title or Position	:	PHYSICIAN SOLE MBR
Name	:	DR. BARBARA A LUBIN
Credential	:	M.D
Telephone Number	:	850-814-0785

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	05/13/2024

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