Most Relevant Information
Provider Data
| NPI Number: | 1003067612 |
| Provider Name: | MICHELLE NORDEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | TRN12769 |
Most Important Dates
| Enumeration Date: | 10/02/2008 |
| Last Updated: | 12/21/2011 |
Provider Practice Location
410 WAYMONT CT.
LK. MARY
FL
32746
Practice Location Phone/Fax
| Phone: | 4073234515 |
| Fax: | 4073226127 |
Provider Mailing Location
410 WAYMONT CT.
LK. MARY
FL
32746
Provider Mailing Phone/Fax
| Phone: | 4073234515 |
| Fax: | 4073226127 |