Provider Demographics
NPI:1922560960
Name:ALBAUGH, HARRY MENDENHALL III (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:MENDENHALL
Last Name:ALBAUGH
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:500 DR MARTIN LUTHER KING ST N STE 303
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1470
Mailing Address - Country:US
Mailing Address - Phone:727-825-1497
Mailing Address - Fax:
Practice Address - Street 1:500 DR MARTIN LUTHER KING ST N STE 303
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1470
Practice Address - Country:US
Practice Address - Phone:727-825-1497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME155843207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine