Provider Demographics
NPI:1861484966
Name:ENGELMAN, NORBERT NICHOLAS III (DO)
Entity Type:Individual
Prefix:DR
First Name:NORBERT
Middle Name:NICHOLAS
Last Name:ENGELMAN
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1745 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-1852
Mailing Address - Country:US
Mailing Address - Phone:727-767-0955
Mailing Address - Fax:727-587-0527
Practice Address - Street 1:1115 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-4312
Practice Address - Country:US
Practice Address - Phone:727-259-2300
Practice Address - Fax:727-548-1360
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2021-11-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS6151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80512OtherBCBS
FL107986200Medicaid
E96519Medicare UPIN