Provider Demographics
NPI:1811223415
Name:ALBERTELLI, JEAN-PAUL
Entity Type:Individual
Prefix:
First Name:JEAN-PAUL
Middle Name:
Last Name:ALBERTELLI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-6529
Mailing Address - Country:US
Mailing Address - Phone:954-579-4991
Mailing Address - Fax:
Practice Address - Street 1:10121 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-6529
Practice Address - Country:US
Practice Address - Phone:954-579-4991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies