Provider Demographics
NPI:1134172190
Name:CARVALHO, NORMAN FARIA (MD)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:FARIA
Last Name:CARVALHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NORMAN
Other - Middle Name:FARLA
Other - Last Name:DE CARVALHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBCHB
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-6212
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:13535 NEMOURS PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7402
Practice Address - Country:US
Practice Address - Phone:407-650-7646
Practice Address - Fax:407-650-7089
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043897207L00000X, 208000000X
FLME100697207L00000X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000335300Medicaid
FLAM599ZMedicare PIN