Provider Demographics
NPI:1689743890
Name:ALESSI, ALBERT G (DO)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:G
Last Name:ALESSI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 MYRTLE RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2677
Mailing Address - Country:US
Mailing Address - Phone:239-593-8618
Mailing Address - Fax:
Practice Address - Street 1:9400 BONITA BEACH RD SE STE 102
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4515
Practice Address - Country:US
Practice Address - Phone:239-992-5444
Practice Address - Fax:239-992-1315
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7094207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS7094OtherMEDICAL LIC
FL57280WMedicare ID - Type Unspecified
FLOS7094OtherMEDICAL LIC