Provider Demographics
NPI:1811335904
Name:NORTON, MARY P (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:P
Last Name:NORTON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6513
Mailing Address - Country:US
Mailing Address - Phone:850-681-3887
Mailing Address - Fax:850-681-0569
Practice Address - Street 1:1205 MARION AVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6513
Practice Address - Country:US
Practice Address - Phone:850-681-3887
Practice Address - Fax:855-681-0569
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL132219208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics