Organization
FLORIDA INSTITUTE OF FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B NORSTEIN MD (PRESIDENT)
(727) 866-3166
Entity
Organization
Contact information
Practice address
1100 62ND AVE S, ST PETERSBURG, FL 33705-5620
(727) 866-3166
(727) 864-4043
Mailing address
1100 62ND AVE S, ST PETERSBURG, FL 33705-5620
(727) 866-3166
(727) 864-4043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253079100
—
FL
Enumeration date
08/21/2006
Last updated
02/18/2011
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