Individual
DR. NORMA JEANNE FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2334 NE 53RD STREET, FT. LAUDERDALE, FL 33308
(954) 776-0292
(954) 776-1442
Mailing address
P.O. BOX 39209, FT. LAUDERDALE, FL 33339
(954) 851-9966
(954) 318-7360
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS7904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285414
COMPBENEFITS
FL
01
—
4284289
AETNA
FL
01
—
49486
BCBS INDIVIDUAL
FL
Enumeration date
02/06/2006
Last updated
03/24/2021
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