Individual
JEROLD NORMAN CHIP I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 N FLORIDA AVE, LAKELAND, FL 33801-4902
(863) 209-7003
(863) 284-3083
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5742
(305) 831-4761
(305) 831-4761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094726
MI
207RC0000X
Cardiovascular Disease Physician
01019735A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
ME123575
FL
Other
Enumeration date
05/04/2009
Last updated
02/21/2017
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