Organization Name: | GERALD NORENSBERG DO PA |
NPI Number: | 1962631846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD NORENSBERG (OWNER) |
Mailing Address: | 8327 W Atlantic Blvd Coral Springs |
State: | FL US |
Postal Code: | 330717452 |
Phone Number: | 9547552453 |
Fax Number: | 9547555436 |
NPI Enumeration Date: | 07/13/2009 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |