Healthcare Provider Details

I. General information

NPI: 1093975807
Provider Name (Legal Business Name): NITIN BABEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10441 QUALITY DR STE 305
SPRING HILL FL
34609-9656
US

IV. Provider business mailing address

17222 HOSPITAL BLVD STE 116
BROOKSVILLE FL
34601-8925
US

V. Phone/Fax

Practice location:
  • Phone: 352-397-4505
  • Fax: 866-576-5313
Mailing address:
  • Phone: 813-866-1959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME102096
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: