Doctor Name: | MR. GERALD NORENSBERG |
NPI Number: | 1689647836 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS0002434 |
Business Practice Address: | 8327 W Atlantic Blvd Coral Springs, FL - 330717452 |
Business Phone Number: | 9547552468 |
Business Fax Number: | 9546568856 |
Mailing Address: | 10051 5th St N, Suite 200 ST PETERSBURG |
State: | FL |
Postal Code: | 337022289 |
Phone Number: | 9547552453 |
Fax Number: | 9547555436 |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS0002434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |