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NPI Code Detail

MEDICARE: DR. NORINA MOHD NORDIN M.D.

MEDICARE:  DR. NORINA  MOHD NORDIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician154507OR
22086S0129XVascular Surgery PhysicianME163560FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356584973
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORINA MOHD NORDIN M.D.
Provider Business Mailing Address
First Line : 511 MEDICAL PLAZA DR STE 101
Second Line :
City : LEESBURG
State : FL
Zip : 34748-7328
Country : US
Telephone Number : 352-728-6808
Fax Number : 352-728-1743
Provider Business Practice Location Address
First Line : 511 MEDICAL PLAZA DR STE 101
Second Line :
City : LEESBURG
State : FL
Zip : 34748-7328
Country : US
Telephone Number : 352-728-6808
Fax Number : 352-728-1743
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2009
Last Update Date : 08/29/2023

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Directions to “ DR. NORINA MOHD NORDIN M.D.” Practice Location

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