NORVAL MASON MARR JR.


Address: 501 Coffee Pot Riviera Ne, St Petersburg, FL 33704-3617
Phone: 7278950057

NORVAL MASON MARR JR. (NPI# 1306111737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306111737
Entity Type Individual
Full Name NORVAL MASON MARR JR.
Credential MD
Practice Address 501 Coffee Pot Riviera Ne
St Petersburg
FL 33704-3617
Practice Telephone 7278950057
Mailing Telephone 7278950057
Enumeration Date 2012-03-19
Last Update Date 2012-03-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
ME4137 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 501 COFFEE POT RIVIERA NE
City ST PETERSBURG
State FL
Zip Code 33704-3617

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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

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1205036555 K Jean Joviak Md Pa Family Medicine 860 S Village Dr N, 105, St Petersburg, FL 33716-3024 2007-07-24
1932298411 Margaret Teresa Nusca Family Medicine 690 4th Ave S, St Petersburg, FL 33701 2006-10-12
1851344485 John E Kern Family Medicine 5838 9th Ave N, St Petersburg, FL 33710-6319 2006-05-17
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1821396151 Robert Jennings Wallace Family Medicine 3000 1st Ave N, St Petersburg, FL 33713-8607 2011-03-10
1003116625 John E Kern Do Pa Family Medicine 5838 9th Ave N, St Petersburg, FL 33710-6319 2010-10-29
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Competitor

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City ST PETERSBURG
Zip Code 33704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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