Provider Demographics
NPI:1275669251
Name:ASANTE, ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:
Last Name:ASANTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 PINEHURST AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4049
Mailing Address - Country:US
Mailing Address - Phone:407-740-0909
Mailing Address - Fax:407-740-7262
Practice Address - Street 1:3435 PINEHURST AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4049
Practice Address - Country:US
Practice Address - Phone:407-740-0909
Practice Address - Fax:407-740-7262
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129302207VE0102X
MN105691207VE0102X
MN54342207VE0102X
IL036.134527207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN160003534Medicare PIN