Healthcare Provider Details

I. General information

NPI: 1356759807
Provider Name (Legal Business Name): SAMUEL FRANK FLORI O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7208 W SAND LAKE RD
ORLANDO FL
32819-5200
US

IV. Provider business mailing address

7208 W SAND LAKE RD
ORLANDO FL
32819-5200
US

V. Phone/Fax

Practice location:
  • Phone: 407-271-8931
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6737
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: