Individual
DR. ELLIS B NORSOPH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 985-8006
Mailing address
6983 E FOWLER AVE, TAMPA, FL 33617-1714
(813) 899-6223
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME78399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51851
BCBS OF FL
FL
Enumeration date
05/18/2006
Last updated
07/08/2007
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