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NPI Code Detail

MEDICARE: DR. ALBERT MICHAEL AMMANN M.D.

MEDICARE: DR. ALBERT MICHAEL AMMANN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianME 82136FL
22085R0204XVascular & Interventional Radiology PhysicianME 82136FL

General Provider Information

NPI Number : 1013918549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERT MICHAEL AMMANN M.D.
Provider Business Mailing Address
First Line : 10261 BLUE HERON PT
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33412-3121
Country : US
Telephone Number : 561-630-4832
Fax Number :
Provider Business Practice Location Address
First Line : 7305 N MILITARY TRL
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33410-7417
Country : US
Telephone Number : 561-422-6770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/10/2007

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