Healthcare Provider Details

I. General information

NPI: 1437605037
Provider Name (Legal Business Name): MEHMET SAIT ALBAYRAM M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 SAXON BLVD
ORANGE CITY FL
32763-8468
US

IV. Provider business mailing address

1055 SAXON BLVD
ORANGE CITY FL
32763-8468
US

V. Phone/Fax

Practice location:
  • Phone: 386-917-5526
  • Fax: 386-917-5553
Mailing address:
  • Phone: 386-917-5526
  • Fax: 386-917-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License NumberME129570
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberME129570
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME129570
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: