Healthcare Provider Details

I. General information

NPI: 1134756554
Provider Name (Legal Business Name): MONICA FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S EOLA DR UNIT 621
ORLANDO FL
32801-6613
US

IV. Provider business mailing address

101 S EOLA DR UNIT 621
ORLANDO FL
32801-6613
US

V. Phone/Fax

Practice location:
  • Phone: 732-407-3808
  • Fax:
Mailing address:
  • Phone: 732-407-3808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9378951
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: