Provider Demographics
NPI:1568640472
Name:CRISTINA M. BABIAK M D P A
Entity Type:Organization
Organization Name:CRISTINA M. BABIAK M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABIAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-474-6539
Mailing Address - Street 1:1790 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-6495
Mailing Address - Country:US
Mailing Address - Phone:941-474-6593
Mailing Address - Fax:
Practice Address - Street 1:1790 7TH ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-6495
Practice Address - Country:US
Practice Address - Phone:941-474-6593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME36537207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty