Healthcare Provider Details

I. General information

NPI: 1730159427
Provider Name (Legal Business Name): ALBERT G VOLK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 10/25/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE ORTHOPAEDIC PLACE
ST AUGUSTINE FL
32086-4202
US

IV. Provider business mailing address

ONE ORTHOPAEDIC PLACE
ST AUGUSTINE FL
32086-4202
US

V. Phone/Fax

Practice location:
  • Phone: 904-825-0540
  • Fax: 904-209-1055
Mailing address:
  • Phone: 904-825-0540
  • Fax: 904-209-1055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME0066326
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME0066326
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: