Healthcare Provider Details
I. General information
NPI: 1932021649
Provider Name (Legal Business Name): BRANDON FLORES DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
60 SE LAUREL ST
WAUKEE IA
50263-8299
US
IV. Provider business mailing address
60 SE LAUREL ST
WAUKEE IA
50263-8299
US
V. Phone/Fax
- Phone: 515-325-4325
- Fax:
- Phone: 515-325-4325
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 139840 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: