Basic Information
Provider Information
NPI: 1033302260
EntityType: 2
ReplacementNPI:  
OrganizationName: FRANCISCO FLORES MD PA
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Mailing Information
Address1: 3000 SW 148TH AVE
Address2: SUITE 250
City: MIRAMAR
State: FL
PostalCode: 330274169
CountryCode: US
TelephoneNumber: 9548855551
FaxNumber:  
Practice Location
Address1: 3000 SW 148TH AVE
Address2: SUITE 250
City: MIRAMAR
State: FL
PostalCode: 330274169
CountryCode: US
TelephoneNumber: 9548855551
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/21/2007
LastUpdateDate: 08/21/2007
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AuthorizedOfficialLastName: FLORES
AuthorizedOfficialFirstName: FRANCISCO
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 9548855551
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000XME72663FLY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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