Provider Demographics
NPI:1831199371
Name:LABROO, AJAY (MD FACC)
Entity type:Individual
Prefix:DR
First Name:AJAY
Middle Name:
Last Name:LABROO
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 JENKS AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4304
Mailing Address - Country:US
Mailing Address - Phone:850-215-6008
Mailing Address - Fax:850-215-6020
Practice Address - Street 1:2428 JENKS AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4304
Practice Address - Country:US
Practice Address - Phone:850-215-6008
Practice Address - Fax:850-215-6020
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3303207RC0000X, 207RI0011X
IL036084756207RC0000X
FLME105331207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036084756OtherLICENSE