Healthcare Provider Details

I. General information

NPI: 1558385856
Provider Name (Legal Business Name): PAUL M NORRIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 06/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ARTHUR GODFREY RD STE 508
MIAMI BEACH FL
33140
US

IV. Provider business mailing address

1611 NW 12TH AVE BOX 016960 M851
MIAMI FL
33101-6960
US

V. Phone/Fax

Practice location:
  • Phone: 862-167-8037
  • Fax: 889-463-9388
Mailing address:
  • Phone: 305-243-4029
  • Fax: 305-243-8470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME56314
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: