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General NPI Number Information
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NPI Number | 1932531860
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Entity Type | Individual
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Provider Name | JOHN FRANCIS NORMILE III NP
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Gender | Male
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 701 6TH ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4814
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Country | US
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Telephone | 727-893-6185
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Fax |
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Provider Business Mailing Address
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Address Line | 3957 WAHOO DR SE # DOB503
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-4042
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Country | US
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Telephone | 603-582-8631
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2262453
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11011870
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License Number State | FL
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