Provider Demographics
NPI:1932326881
Name:SAGET NORMIL, HENRIETTE (AP)
Entity type:Individual
Prefix:DR
First Name:HENRIETTE
Middle Name:
Last Name:SAGET NORMIL
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N THACKER AVE, SUITE C-21
Mailing Address - Street 2:SUITE C21
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4885
Mailing Address - Country:US
Mailing Address - Phone:407-255-1510
Mailing Address - Fax:407-386-0009
Practice Address - Street 1:600 N THACKER AVE, SUITE C-21
Practice Address - Street 2:SUITE C21
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4885
Practice Address - Country:US
Practice Address - Phone:407-255-1510
Practice Address - Fax:407-386-0009
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2122171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114075400Medicaid