Healthcare Provider Details

I. General information

NPI: 1598706244
Provider Name (Legal Business Name): MICHAEL B ALBERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 S US HIGHWAY 1
FORT PIERCE FL
34982-6949
US

IV. Provider business mailing address

12606 SW RAIN RIVER DR
PORT ST LUCIE FL
34987-6977
US

V. Phone/Fax

Practice location:
  • Phone: 301-466-5889
  • Fax:
Mailing address:
  • Phone: 301-466-5889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberLL951
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD15290
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: