Provider Demographics
NPI:1922024330
Name:WOBST, ALBRECHT HELMUT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBRECHT
Middle Name:HELMUT
Last Name:WOBST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALBRECHT
Other - Middle Name:HELMUT KARL
Other - Last Name:WOBST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 100371
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0371
Mailing Address - Country:US
Mailing Address - Phone:352-265-0301
Mailing Address - Fax:352-265-0627
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:BOX 100371
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-846-1310
Practice Address - Fax:352-265-8013
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89706207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I18874Medicare UPIN
FL46087Medicare ID - Type Unspecified