Norris, Shawn Raymond

Norris, Shawn Raymond is an individual health care provider with primary practice located at 1601 Clint Moore Rd Ste. 130, Boca Raton FL 33487-2768. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Norris, Shawn Raymond can be contacted via phone (561) 939-0974.

Contact Information

Primary practice address
1601 Clint Moore Rd Ste. 130 Boca Raton FL 33487-2768
Phone: (561) 939-0974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3549 Florida

Profile Details

NPI number 1770816860
LBN Legal business name Norris, Shawn Raymond
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2009
Last updated Apr 6th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770816860 NPPES
Florida MEDICAID 005576100

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