Provider Demographics
NPI:1780686667
Name:ARMSTRONG, ALBERT VINCENT JR (BSRS, MS, DPM)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:VINCENT
Last Name:ARMSTRONG
Suffix:JR
Gender:M
Credentials:BSRS, MS, DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SIMON BUILDING SUITE 200
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-893-9366
Mailing Address - Fax:305-893-4408
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SIMON BUILDING SUITE 200
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-893-9366
Practice Address - Fax:305-893-4408
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLP02951213EP1101X, 213ER0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340212600Medicaid
FLE5877Medicare ID - Type UnspecifiedMC IND
FL340212600Medicaid
FLE5877ZMedicare ID - Type UnspecifiedGROUP MC