Provider Demographics
NPI:1912323460
Name:JOHN F ALBURGER MD PA
Entity Type:Organization
Organization Name:JOHN F ALBURGER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ALBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-435-1979
Mailing Address - Street 1:311 9TH ST N
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5885
Mailing Address - Country:US
Mailing Address - Phone:239-435-1979
Mailing Address - Fax:239-435-1823
Practice Address - Street 1:311 9TH ST N
Practice Address - Street 2:SUITE 210
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5887
Practice Address - Country:US
Practice Address - Phone:239-435-1979
Practice Address - Fax:239-435-1823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77863207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG91408Medicare UPIN