Provider Demographics
NPI:1285048215
Name:CONLEY, NORMA SHARON (MD)
Entity type:Individual
Prefix:DR
First Name:NORMA
Middle Name:SHARON
Last Name:CONLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19 MOSS POINT DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-2596
Mailing Address - Country:US
Mailing Address - Phone:386-673-9225
Mailing Address - Fax:413-674-9224
Practice Address - Street 1:19 MOSS POINT DR
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-2596
Practice Address - Country:US
Practice Address - Phone:386-673-9225
Practice Address - Fax:413-674-9224
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL54857207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine