Healthcare Provider Details

I. General information

NPI: 1124934724
Provider Name (Legal Business Name): JOCELYN FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S AVENUE A
YUMA AZ
85364-7127
US

IV. Provider business mailing address

1612 S 43RD DR
YUMA AZ
85364-4747
US

V. Phone/Fax

Practice location:
  • Phone: 928-336-4353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number272072
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: