John W. Norris Iii Md Pa | |
508 Southard St Ste 103 Key West FL 33040-6989 | |
(305) 296-1022 | |
(305) 296-5828 |
Full Name | John W. Norris Iii Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 508 Southard St Ste 103, Key West, Florida |
Authorized Official Name and Position | John W Norris (PHYSICIAN) |
Authorized Official Contact | 3052961022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John W. Norris Iii Md Pa 508 Southard St Ste 103 Key West FL 33040-6989 Ph: (305) 296-1022 | John W. Norris Iii Md Pa 508 Southard St Ste 103 Key West FL 33040-6989 Ph: (305) 296-1022 |
NPI Number | 1831303924 |
---|---|
Provider Enumeration Date | 05/09/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4082651153 |
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Medicare Enrollment ID | O20050411000372 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831303924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John W Norris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619935129 PECOS PAC ID: 6709823875 Enrollment ID: I20050412000375 |
Provider Name | Kelly Ann Boroff-praul |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174850572 PECOS PAC ID: 7517228406 Enrollment ID: I20230403001740 |
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