=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407995756
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WOMENS CENTER FOR TOTAL HEALTH INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1925 MIZELL AVE SUITE 206
-----------------------------------------------------
City | WINTER PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32792-4106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-645-3055
-----------------------------------------------------
Fax | 407-647-5125
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1925 MIZELL AVE SUITE 206
-----------------------------------------------------
City | WINTER PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32792-4106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-645-3055
-----------------------------------------------------
Fax | 407-647-5125
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JOHN SPENCER ALBRITTON
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 407-645-3055
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------