Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD431496 | PA |
Y | 207P00000X | Emergency Physician | ME103484 | FL |
N | 207PP0204X | Pediatric Emergency Physician | MD431496 | PA |
NPI | 1346458817 |
---|---|
Provider Name | Dr. Candice Alanna Norman |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 30/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0178799 | (05) | NJ |
1022259150001 | (05) | PA |