Provider Demographics
NPI:1740301720
Name:NORMAN FLORO MEDICAL, INC.
Entity type:Organization
Organization Name:NORMAN FLORO MEDICAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLORO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-244-6100
Mailing Address - Street 1:455 GRISWOLD RD
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2304
Mailing Address - Country:US
Mailing Address - Phone:440-244-6100
Mailing Address - Fax:440-324-1153
Practice Address - Street 1:455 GRISWOLD RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2304
Practice Address - Country:US
Practice Address - Phone:440-244-6100
Practice Address - Fax:440-324-1153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-7764F207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0995008Medicaid
OHF93686Medicare UPIN
OH0995008Medicaid