MEDICARE: NORMAN FLORO MEDICAL, INC.

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	207R00000X	Internal Medicine Physician	35-06-7764F	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740301720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORMAN FLORO MEDICAL, INC.

Provider Business Mailing Address
First Line	:	455 GRISWOLD RD
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-2304
Country	:	US
Telephone Number	:	440-244-6100
Fax Number	:	440-324-1153

Provider Business Practice Location Address
First Line	:	455 GRISWOLD RD
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-2304
Country	:	US
Telephone Number	:	440-244-6100
Fax Number	:	440-324-1153

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NORMAN A FLORO
Credential	:	M.D.
Telephone Number	:	440-244-6100

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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