=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538559182
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAVID A. ALBRIGHT, MD, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/03/2015
-----------------------------------------------------
Last Update Date | 02/03/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2203 SE 3RD AVE
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34471-5117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-622-2477
-----------------------------------------------------
Fax | 352-622-5417
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2203 SE 3RD AVE
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34471-5117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-622-2477
-----------------------------------------------------
Fax | 352-622-5417
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BILLING SPECIALIST
-----------------------------------------------------
Name | KAREN THOMPSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 352-622-2477
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------