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Individual

D. ANDA NORBERGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4114 WOODLANDS PKWY, SUITE 301, PALM HARBOR, FL 34685-3498
(727) 789-2595
(727) 789-8891
Mailing address
PO BOX 919210, ORLANDO, FL 32891-9210
(727) 789-2595
(727) 789-8891

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0056118
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME0056118
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09165
BCBS
FL
01
4643415
AETNA
FL
01
AE374
MEDICARE ID
FL
01
DA6603
RRW MEDICARE GROUP
FL
01
DG4665
RRW MEDICARE GROUP
FL
01
K5098
MEDICARE ID
FL
01
P00066801
RRW MEDICARE INDIVIDUAL
FL
01
P00437070
RRW MEDICARE INDIVIDUAL
FL
Enumeration date
05/10/2007
Last updated
04/25/2008
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