Provider Demographics
NPI:1558383364
Name:NORORI, FREDDY J (MD)
Entity Type:Individual
Prefix:
First Name:FREDDY
Middle Name:J
Last Name:NORORI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5607 NW 27TH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-2826
Mailing Address - Country:US
Mailing Address - Phone:305-637-6400
Mailing Address - Fax:305-636-5155
Practice Address - Street 1:901 E 10TH AVE
Practice Address - Street 2:BAY 39
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3762
Practice Address - Country:US
Practice Address - Phone:305-637-6400
Practice Address - Fax:305-636-5155
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2017-03-29
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Provider Licenses
StateLicense IDTaxonomies
FLME66370207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL376504100Medicaid
FL172687OtherWELLCARE
FL25965OtherBCBS
FL25965YMedicare PIN
FL25965OtherBCBS