Healthcare Provider Details

I. General information

NPI: 1891699930
Provider Name (Legal Business Name): ALEIA GABRIELLE FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 MARY ESTHER BLVD STE 503
MARY ESTHER FL
32569-1976
US

IV. Provider business mailing address

151 MARY ESTHER BLVD STE 503
MARY ESTHER FL
32569-1976
US

V. Phone/Fax

Practice location:
  • Phone: 850-970-7222
  • Fax:
Mailing address:
  • Phone: 850-970-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMT4692
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: