Provider Demographics
NPI:1073535811
Name:NORMAN, JAMES G (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:NORMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2400 CYPRESS GLEN DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544
Mailing Address - Country:US
Mailing Address - Phone:813-972-0000
Mailing Address - Fax:813-972-0077
Practice Address - Street 1:2400 CYPRESS GLEN DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544
Practice Address - Country:US
Practice Address - Phone:813-972-0000
Practice Address - Fax:813-972-0077
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME58735208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057024900Medicaid
FL057024900Medicaid
FLF09074Medicare UPIN
FL14371XMedicare Oscar/Certification
K9281Medicare PIN