Provider Demographics
NPI:1245215730
Name:ALBERS, DEBRA S (DO)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:S
Last Name:ALBERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 CORRINE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2206
Mailing Address - Country:US
Mailing Address - Phone:407-395-4707
Mailing Address - Fax:407-228-9501
Practice Address - Street 1:3120 CORRINE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2206
Practice Address - Country:US
Practice Address - Phone:407-395-4707
Practice Address - Fax:407-228-9501
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0005348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE31880Medicare UPIN