Healthcare Provider Details

I. General information

NPI: 1114946472
Provider Name (Legal Business Name): ORLANDO FLORES CPFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9788 SW 24TH ST
MIAMI FL
33165-7574
US

IV. Provider business mailing address

13187 SW 11TH LANE CIR
MIAMI FL
33184-2058
US

V. Phone/Fax

Practice location:
  • Phone: 305-223-0224
  • Fax:
Mailing address:
  • Phone: 305-554-8496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License NumberTT12526
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: