Individual
DR. OTTO RUSSELL ALBUSCHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 374-6051
(352) 374-6154
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 374-6051
(352) 374-6154
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME46058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041850100
—
FL
Enumeration date
08/31/2006
Last updated
01/13/2009
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