Healthcare Provider Details

I. General information

NPI: 1518924133
Provider Name (Legal Business Name): ELIZABETH A BABIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 MEADOWS RD CHRISTINE E. LYNN WOMEN'S HEALTH AND WELLNESS INSTITUTE
BOCA RATON FL
33486-2344
US

IV. Provider business mailing address

670 GLADES RD SUITE 300
BOCA RATON FL
33431-6461
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-2131
  • Fax: 561-955-3756
Mailing address:
  • Phone: 561-955-6663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberME127459
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: