Healthcare Provider Details

I. General information

NPI: 1942285838
Provider Name (Legal Business Name): ROCCO MICHAEL BABINEC D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 557 BOX 1546
FPO AP
96379-1546
JP

IV. Provider business mailing address

PSC 557 BOX 1546
FPO AP
96379-1546
JP

V. Phone/Fax

Practice location:
  • Phone: 011816117465615
  • Fax: 011810987371156
Mailing address:
  • Phone: 011816117465615
  • Fax: 011810987371156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN 10242
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: