MEDICARE: DR. MARK B NORSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0034232	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080128686	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10618501	OTHER	FL	CITRUS
3	62202W	OTHER	FL	BLUE CROSS/BLUE SHIELD
4	204937	OTHER	FL	AVMED
5	672595012	OTHER	FL	CIGNA
6	1013896	OTHER	FL	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	225530	OTHER	FL	WELLCARE

General Provider Information

NPI Number	:	1194831479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK B NORSTEIN MD

Provider Business Mailing Address
First Line	:	10051 5TH STREET NORTH #200
Second Line	:
City	:	ST. PETERSBURG
State	:	FL
Zip	:	33705-5620
Country	:	US
Telephone Number	:	727-824-0780
Fax Number	:	727-568-6011

Provider Business Practice Location Address
First Line	:	1100 62ND AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33705-5620
Country	:	US
Telephone Number	:	727-866-3166
Fax Number	:	727-864-4043

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	02/18/2014

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Directions to “ DR. MARK B NORSTEIN MD” Practice Location

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