=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982658258
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALBEAR PLASTIC SURGERY PL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2006
-----------------------------------------------------
Last Update Date | 03/03/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26844 TANIC DR
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33544-4616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-929-7400
-----------------------------------------------------
Fax | 813-929-7485
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26844 TANIC DR
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33544-4616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-929-7400
-----------------------------------------------------
Fax | 813-929-7485
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | PAUL RAMON ALBEAR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 813-929-7400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208200000X
-----------------------------------------------------
Taxonomy Name | Plastic Surgery Physician
-----------------------------------------------------
License Number | ME82994
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------