Individual
DR. ALBERT J ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 DON WICKHAM DR STE 127, CLERMONT, FL 34711-1978
(352) 536-8807
(352) 536-8819
Mailing address
1920 DON WICKHAM DR STE 127, CLERMONT, FL 34711-1978
(352) 536-8807
(352) 536-8819
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
32133
MN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME133507
FL
207VG0400X
Gynecology Physician
32133
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023047800
—
FL
01
—
P00914343
RR MEDICARE
MN
Enumeration date
12/09/2005
Last updated
10/17/2018
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