Provider Demographics
NPI:1215139423
Name:PETER JAMES NORTON MD PL
Entity type:Organization
Organization Name:PETER JAMES NORTON MD PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-377-9544
Mailing Address - Street 1:PO BOX 12315
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34101-2315
Mailing Address - Country:US
Mailing Address - Phone:323-377-9544
Mailing Address - Fax:
Practice Address - Street 1:3400 GULFSHORE BLVD NORTH
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103
Practice Address - Country:US
Practice Address - Phone:323-377-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88592207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL48861YMedicare UPIN