Provider Demographics
NPI:1205827540
Name:ALBERT, WILLIAM C (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:ALBERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 39209
Mailing Address - Street 2:STE 102
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339
Mailing Address - Country:US
Mailing Address - Phone:954-851-9966
Mailing Address - Fax:954-318-7360
Practice Address - Street 1:850 S PINE ISLAND RD
Practice Address - Street 2:STE 102
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3118
Practice Address - Country:US
Practice Address - Phone:954-741-5555
Practice Address - Fax:954-572-6958
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2011-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301036790207W00000X
FLME17715207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4159852Medicaid
B44834Medicare UPIN
MI4159852Medicaid
FL1469SMedicare PIN
FLB44834Medicare UPIN