Provider Demographics
NPI:1558309419
Name:ALBRITTON, JOHN SPENCER (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SPENCER
Last Name:ALBRITTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1925 MIZELL AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-4155
Mailing Address - Country:US
Mailing Address - Phone:407-645-3055
Mailing Address - Fax:407-647-5125
Practice Address - Street 1:1925 MIZELL AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4106
Practice Address - Country:US
Practice Address - Phone:407-645-3055
Practice Address - Fax:407-647-5125
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056148207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061554400Medicaid
FLE34029Medicare UPIN
FL061554400Medicaid