Provider Demographics
NPI:1053376897
Name:ALBECK, ROBERT N (CRNA)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:N
Last Name:ALBECK
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-7020
Mailing Address - Country:US
Mailing Address - Phone:561-750-6727
Mailing Address - Fax:561-367-8390
Practice Address - Street 1:711 SW 15TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-7020
Practice Address - Country:US
Practice Address - Phone:561-289-4072
Practice Address - Fax:561-367-8390
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 895112367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered