Provider Demographics
NPI:1609060714
Name:NORWOOD, GARY (DOM)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:
Last Name:NORWOOD
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6071 TOWN COLONY DR
Mailing Address - Street 2:APT 926
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1908
Mailing Address - Country:US
Mailing Address - Phone:954-415-6760
Mailing Address - Fax:
Practice Address - Street 1:6071 TOWN COLONY DR APT 926
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1910
Practice Address - Country:US
Practice Address - Phone:561-330-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2001171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist