Healthcare Provider Details

I. General information

NPI: 1265361463
Provider Name (Legal Business Name): FLORABLANCA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 S CYPRESS AVE
SAN JOSE CA
95117-1529
US

IV. Provider business mailing address

416 S CYPRESS AVE
SAN JOSE CA
95117-1529
US

V. Phone/Fax

Practice location:
  • Phone: 408-597-2174
  • Fax:
Mailing address:
  • Phone: 408-597-2174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: DOMINICK GUEVARA
Title or Position: EMPLOYEE
Credential:
Phone: 408-597-2174