Healthcare Provider Details

I. General information

NPI: 1326380015
Provider Name (Legal Business Name): ROBERT N ALBECK CRNA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 SW 15TH ST
BOCA RATON FL
33486-7020
US

IV. Provider business mailing address

711 SW 15TH ST
BOCA RATON FL
33486-7020
US

V. Phone/Fax

Practice location:
  • Phone: 908-653-9399
  • Fax:
Mailing address:
  • Phone: 908-653-9399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT ALBECK
Title or Position: OWNER
Credential: CRNA
Phone: 908-653-9399