Provider Demographics
NPI:1053357913
Name:LABBIE, ANDREW S (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:S
Last Name:LABBIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 277279
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-7279
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:855-527-5510
Practice Address - Street 1:3200 SW 60TH CT STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4069
Practice Address - Country:US
Practice Address - Phone:305-669-6448
Practice Address - Fax:305-663-8485
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2018-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME557372088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000853OtherNEIGHBORHOOD HEALTH PARTNERSHIP
FL061671100Medicaid
FL7911585OtherGHI
FL151912OtherWELLCARE
FL151912OtherSTAYWELL
FL54415OtherSCFN
FL015080OtherAVMED
FL09409OtherBLUE CROSS BLUE SHIELD
FL7911585OtherGHI