Provider Demographics
NPI:1245210350
Name:SCAFURI, ALBERT RICHARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:RICHARD
Last Name:SCAFURI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:9776 BONITA BEACH RD SE
Mailing Address - Street 2:#202B
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4773
Mailing Address - Country:US
Mailing Address - Phone:239-992-1500
Mailing Address - Fax:239-992-3425
Practice Address - Street 1:9776 BONITA BEACH RD
Practice Address - Street 2:SUITE 202B
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4773
Practice Address - Country:US
Practice Address - Phone:239-992-1500
Practice Address - Fax:239-992-3425
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2014-10-06
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Provider Licenses
StateLicense IDTaxonomies
FLME60660207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054705100Medicaid
FL0005867064OtherAETNA
FL17780OtherBCBSFL
FL0005867064OtherAETNA
FL054705100Medicaid