Provider Demographics
NPI:1841211208
Name:NORLEANS, MARK XUEMIN XIE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:XUEMIN XIE
Last Name:NORLEANS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9730 COMMERCE CENTER CT
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3615
Mailing Address - Country:US
Mailing Address - Phone:239-482-5003
Mailing Address - Fax:239-989-0166
Practice Address - Street 1:9730 COMMERCE CENTER CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3615
Practice Address - Country:US
Practice Address - Phone:239-482-5003
Practice Address - Fax:239-989-0166
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86281207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME86281OtherMEDICAL LICENSE
FLP00017745OtherRAILROAD MEDICARE
42157574886OtherTAX ID
BN7478781OtherDEA
BN7478781OtherDEA
FLME86281OtherMEDICAL LICENSE