Individual
NORMAN HENRY PEVSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4515 WILES RD STE 101, COCONUT CREEK, FL 33073-3414
(561) 478-0603
Mailing address
PO BOX 1607, DANIA BEACH, FL 33004-1607
(561) 478-0603
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
ME19375
FL
2085R0202X
Diagnostic Radiology Physician
ME19375
FL
Other
Enumeration date
09/21/2005
Last updated
11/08/2020
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