Provider Demographics
NPI:1598476178
Name:BANDES, NORKA SILENE
Entity Type:Individual
Prefix:
First Name:NORKA
Middle Name:SILENE
Last Name:BANDES
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 1:13867 OSPREY LINKS RD APT 158
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6155
Mailing Address - Country:US
Mailing Address - Phone:407-308-8627
Mailing Address - Fax:
Practice Address - Street 1:13867 OSPREY LINKS RD APT 158
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6155
Practice Address - Country:US
Practice Address - Phone:407-308-8627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL100034225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist