MEDICARE: DR. ROCCO MICHAEL BABINEC D.O.

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	1223G0001X	General Practice Dentistry	DN 10242	FL

General Provider Information

NPI Number	:	1942285838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROCCO MICHAEL BABINEC D.O.

Provider Business Mailing Address
First Line	:	PSC 557
Second Line	:	BOX 1546
City	:	FPO
State	:	AP
Zip	:	96379-1546
Country	:	JP
Telephone Number	:	011816117465615
Fax Number	:	011810987371156

Provider Business Practice Location Address
First Line	:	PSC 557
Second Line	:	BOX 1546
City	:	FPO
State	:	AP
Zip	:	96379-1546
Country	:	JP
Telephone Number	:	011816117465615
Fax Number	:	011810987371156

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/21/2022

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