MEDICARE: MRS. HEATHER FLORES M.S., M.T.C., D.P.T.

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	2251X0800X	Orthopedic Physical Therapist	DPT15276	FL

General Provider Information

NPI Number	:	1568422384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER FLORES M.S., M.T.C., D.P.T.

Provider Business Mailing Address
First Line	:	1296 NW 170TH TER
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-1921
Country	:	US
Telephone Number	:	954-252-6014
Fax Number	:	954-252-6015

Provider Business Practice Location Address
First Line	:	5856 S FLAMINGO RD
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33330-3238
Country	:	US
Telephone Number	:	954-252-6014
Fax Number	:	954-252-6015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	07/08/2007

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