Healthcare Provider Details

I. General information

NPI: 1538408620
Provider Name (Legal Business Name): ALEXIS MITCHELL FLORES M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 SUNSET DR # 151
MIAMI FL
33173-3286
US

IV. Provider business mailing address

9350 SUNSET DR STE 151
MIAMI FL
33173-3286
US

V. Phone/Fax

Practice location:
  • Phone: 786-548-1022
  • Fax: 786-542-5326
Mailing address:
  • Phone: 786-262-2288
  • Fax: 786-542-5326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH20706
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: