Provider Demographics
NPI:1770546210
Name:PALGON, NORMAN (MD)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:
Last Name:PALGON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 EAST HALLANDALE BEACH BLVD
Mailing Address - Street 2:CHEN MEDICAL HALLANDALE, INC
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5584
Mailing Address - Country:US
Mailing Address - Phone:954-454-5777
Mailing Address - Fax:954-924-0812
Practice Address - Street 1:2230 NW 95TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-2414
Practice Address - Country:US
Practice Address - Phone:954-454-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0041906207RH0003X
FLME41906207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067833500Medicaid
FLD63132Medicare UPIN
FL94142ZMedicare ID - Type Unspecified