Individual
MS. MAURA R NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3625 N COUNTRY CLUB DR, SUITE 2110, AVENTURA, FL 33180-1729
(305) 962-3668
(954) 963-7169
Mailing address
3625 N COUNTRY CLUB DR, SUITE 2110, AVENTURA, FL 33180-1729
(305) 962-3668
(954) 963-7169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA23723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8120
BLUE CROSS BLUE SHEILD
FL
Enumeration date
01/29/2007
Last updated
07/08/2007
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