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Organization
RICHARD A NORMAN PA
Active
Organization
RICHARD A NORMAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A NORMAN O.D. (PRESIDENT)
(954) 434-4671
Entity
Organization
Contact information
Practice address
4671 S UNIVERSITY DR, DAVIE, FL 33328
(954) 434-4671
(954) 434-4556
Mailing address
4671 S UNIVERSITY DR, DAVIE, FL 33328-3817
(954) 434-4671
(954) 434-4556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078141000
—
FL
01
—
19223
MEDICARE
FL
Enumeration date
01/10/2011
Last updated
07/30/2018
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