Healthcare Provider Details

I. General information

NPI: 1538302195
Provider Name (Legal Business Name): ELISSA S NORTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELISSA SCHWARTZFARB MD

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5162 LINTON BLVD SUITE 203
DELRAY BEACH FL
33484-6567
US

IV. Provider business mailing address

5162 LINTON BLVD SUITE 203
DELRAY BEACH FL
33484-6567
US

V. Phone/Fax

Practice location:
  • Phone: 561-877-3376
  • Fax:
Mailing address:
  • Phone: 561-877-3376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number115336
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: