Doctor Name: | NORBERTO FLEITES |
NPI Number: | 1417948480 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME84962 |
Business Practice Address: | 5580 E Grant St Orlando, FL - 328221666 |
Business Phone Number: | 3212356230 |
Business Fax Number: | 3212356246 |
Mailing Address: | 5580 E Grant St, ORLANDO |
State: | FL |
Postal Code: | 328221666 |
Phone Number: | 3212356230 |
Fax Number: | 3212356246 |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME84962 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |