Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME109316 | FL |
NPI | 1003914284 |
---|---|
Provider Name | Dr. Anthony Stanek Albert |
First Address | St Petersburg, FL 33709-2150 |
Second Address | St Petersburg, FL 33709-2150 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004217200 | (05) | FL |
F1766Z | MEDICARE PTAN (01) | FL |