Healthcare Provider Details

I. General information

NPI: 1033111539
Provider Name (Legal Business Name): JAMES PATRICK FLOREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 LILE DR SUITE 890
LITTLE ROCK AR
72205-6321
US

IV. Provider business mailing address

9601 LILE DR SUITE 890
LITTLE ROCK AR
72205-6321
US

V. Phone/Fax

Practice location:
  • Phone: 501-224-0110
  • Fax: 501-224-8630
Mailing address:
  • Phone: 501-224-0110
  • Fax: 501-224-8630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC5331
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberC5331
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: