Provider Demographics
NPI:1457452708
Name:ALBINO, NORMARIE M (MD)
Entity Type:Individual
Prefix:
First Name:NORMARIE
Middle Name:M
Last Name:ALBINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N US HIGHWAY 441
Mailing Address - Street 2:BLDG 940 SUITE 942
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8975
Mailing Address - Country:US
Mailing Address - Phone:352-751-4958
Mailing Address - Fax:888-456-7964
Practice Address - Street 1:1400 N US HIGHWAY 441
Practice Address - Street 2:BLDG 940 SUITE 942
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8975
Practice Address - Country:US
Practice Address - Phone:352-751-4958
Practice Address - Fax:888-456-7964
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81373208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58003OtherBCBS OF FL PROVIDER #
FLME81373OtherSTATE LICENSE #
FL261339500Medicaid
FLBM6008242OtherDEA #
FL45615Medicare ID - Type UnspecifiedMEDICARE GROUP#
FL261339500Medicaid
FLH02556Medicare UPIN