Provider Demographics
NPI: | 1831483841 |
---|---|
Name: | BABI, MARC-ALAIN (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | MARC-ALAIN |
Middle Name: | |
Last Name: | BABI |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1600 SW ARCHER RD |
Mailing Address - Street 2: | |
Mailing Address - City: | GAINESVILLE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32610-3003 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 802-777-2880 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 10050 SW INNOVATION WAY |
Practice Address - Street 2: | |
Practice Address - City: | PORT ST LUCIE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34987-2117 |
Practice Address - Country: | US |
Practice Address - Phone: | 802-777-2880 |
Practice Address - Fax: | 352-273-5575 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2011-06-07 |
Last Update Date: | 2023-01-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 129409 | 207RC0200X, 2084N0400X, 2084A2900X |
NC | 2015-00512 | 2084N0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2084A2900X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurocritical Care |
No | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |