Healthcare Provider Details

I. General information

NPI: 1376561191
Provider Name (Legal Business Name): FRANKLIN P. FLOWERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANKLIN P FLOWERS M.D.

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 918025
ORLANDO FL
32891-8025
US

V. Phone/Fax

Practice location:
  • Phone: 352-392-4984
  • Fax: 352-265-8414
Mailing address:
  • Phone: 352-392-4984
  • Fax: 352-265-8414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME20652
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberME20652
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberME20652
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberME20652
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: