Provider Demographics
NPI:1386015246
Name:NORFLEET, KATHERINE DENISE
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DENISE
Last Name:NORFLEET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MCDANIEL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5715
Mailing Address - Country:US
Mailing Address - Phone:321-274-7737
Mailing Address - Fax:
Practice Address - Street 1:7480 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9102
Practice Address - Country:US
Practice Address - Phone:407-988-3048
Practice Address - Fax:407-573-5858
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-16
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014142800Medicaid