MEDICARE: JULIE P NORDMAN DMD PA

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	122300000X	Dentist	DN12375	FL

General Provider Information

NPI Number	:	1841462231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIE P NORDMAN DMD PA

Provider Business Mailing Address
First Line	:	10649 W ATLANTIC BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-5669
Country	:	US
Telephone Number	:	954-341-0232
Fax Number	:	954-340-4445

Provider Business Practice Location Address
First Line	:	10649 W ATLANTIC BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-5669
Country	:	US
Telephone Number	:	954-341-0232
Fax Number	:	954-340-4445

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	JULIE P NORDMAN
Credential	:	DMD
Telephone Number	:	954-341-0232

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	03/20/2013

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