MEDICARE: FLORADI PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1538742242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORADI PLLC

Provider Business Mailing Address
First Line	:	PO BOX 301030
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77230-1030
Country	:	US
Telephone Number	:	415-691-0462
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 KINGSBRIDGE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-1277
Country	:	US
Telephone Number	:	415-691-0462
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FLORENCE IFEOMA ADIMORA-NWEKE
Credential	:	MD
Telephone Number	:	415-691-0462

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	04/30/2021

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