NPI Code Details Logo

NPI 1922005321

NPI 1922005321 : DAVID ALLEN NORFLEET DO : CRESTVIEW, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922005321
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DAVID ALLEN NORFLEET DO
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/30/2005
-----------------------------------------------------
    Last Update Date     |    02/20/2008
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    150 E REDSTONE AVE SUITE A
-----------------------------------------------------
    City                 |    CRESTVIEW
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32539-5357
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    850-689-8004
-----------------------------------------------------
    Fax                  |    850-689-8068
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1639 LAHAINA CT 
-----------------------------------------------------
    City                 |    GULF BREEZE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32563-4916
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208VP0014X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Pain Medicine Physician
-----------------------------------------------------
    License Number       |    OS8458
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.