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NPI Code Detail

MEDICARE: JOHANNA ALBRECHT MD

MEDICARE: JOHANNA ALBRECHT MD
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
1208000000XPediatrics PhysicianME0058024FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME0058024OTHERFLLICENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104835305
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA ALBRECHT MD
Provider Business Mailing Address
First Line : 803 N SWINTON AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33444-3961
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 NW 7TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-9026
Country : US
Telephone Number : 954-759-6600
Fax Number : 954-759-6665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 04/01/2024

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Directions to “ JOHANNA ALBRECHT MD” Practice Location

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