Basic Information
| Provider Information | |||||||||
| NPI: | 1770546210 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PALGON | ||||||||
| FirstName: | NORMAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 410 EAST HALLANDALE BEACH BLVD | ||||||||
| Address2: | CHEN MEDICAL HALLANDALE, INC | ||||||||
| City: | HALLANDALE BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330095584 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544545777 | ||||||||
| FaxNumber: | 9549240812 | ||||||||
| Practice Location | |||||||||
| Address1: | 2230 NW 95TH ST | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331472414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544545777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2006 | ||||||||
| LastUpdateDate: | 11/11/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | ME0041906 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207R00000X | ME41906 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 067833500 | 05 | FL | MEDICAID |