Organization Active NPI

Jack D. Norman, M.D., P.a.

  • Plastic and Reconstructive Surgery Physician
  • Miami, FL
National Provider Identifier
1710284062
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
JACK D. NORMAN, M.D., P.A.
Practice address
848 Brickell Ave
Suite #820
Miami, FL 33131-2949
Phone
(305) 358-7110
Fax
(305) 379-6777
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jack D Norman, M.D.
Title
Owner
Phone
(305) 667-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

848 Brickell Ave
Suite #820
Miami, FL 33131-2949

Mailing address

848 Brickell Ave
Suite #820
Miami, FL 33131-2949
Phone (305) 358-7110

National Provider Directory

National Provider Directory

Locations

6705 SW 57th Ave
Ste 412
South Miami, FL 33143
Phone (305) 358-7110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1710284062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 BRICKELL AVE",
            "address_2": "SUITE #820",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312949",
            "telephone_number": "305-358-7110",
            "fax_number": "305-379-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 BRICKELL AVE",
            "address_2": "SUITE #820",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312949",
            "telephone_number": "305-358-7110",
            "fax_number": "305-379-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D. NORMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-667-1224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.