Debra L Babcock, PA-C
Individual provider Active NPI Medical Physician Assistant · Rockledge, FL
NPI 1093819781 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1093819781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 003213 (OH)
- Practice address
- 830 Executive LN Ste 1110
Rockledge, FL 32955-3595 - Phone
- (321) 394-8000
- Fax
- (321) 394-8002
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003213 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003213 | OH | Yes |
Addresses
Primary practice location
830 Executive LN Ste 1110
Rockledge, FL 32955-3595
Mailing address
830 Executive LN Ste 1110
Rockledge, FL 32955-3595
Phone (321) 394-8000
Other providers in Rockledge, FL
- Meagan Kathleen Austin
- Avanthi Kopuri, DMD, MSD, Mha, PLLC
- Margeths Ayala-Cruz
- Jennifer Lyn Ayrey
- Nabil Aziz
- Kathleen Margaret Babineau
- Sarah Jeanette Bachmaier
- Backonpoint Health and Wellness
- Donna Louise Bacon
- Mohammad Baddad
All providers in Rockledge, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.