MEDICARE: DR. MIGUEL FLORES MD

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	174400000X	Specialist	ME87988	FL
2	2084P0800X	Psychiatry Physician	ME87988	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639167513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIGUEL FLORES MD

Provider Business Mailing Address
First Line	:	8200 SW 117TH AVE
Second Line	:	SUITE 301
City	:	MIAMI
State	:	FL
Zip	:	33183-3856
Country	:	US
Telephone Number	:	305-279-1501
Fax Number	:	305-279-1593

Provider Business Practice Location Address
First Line	:	8200 SW 117TH AVE
Second Line	:	STE 301
City	:	MIAMI
State	:	FL
Zip	:	33183-4826
Country	:	US
Telephone Number	:	305-279-1501
Fax Number	:	305-279-1593

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

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	04/12/2021

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Directions to “ DR. MIGUEL FLORES MD” Practice Location

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