Healthcare Provider Details

I. General information

NPI: 1770546210
Provider Name (Legal Business Name): NORMAN PALGON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 NW 95TH ST
MIAMI FL
33147-2414
US

IV. Provider business mailing address

410 EAST HALLANDALE BEACH BLVD CHEN MEDICAL HALLANDALE, INC
HALLANDALE BEACH FL
33009-5584
US

V. Phone/Fax

Practice location:
  • Phone: 954-454-5777
  • Fax:
Mailing address:
  • Phone: 954-454-5777
  • Fax: 954-924-0812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME0041906
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME41906
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: