Healthcare Provider Details

I. General information

NPI: 1942219506
Provider Name (Legal Business Name): FRANCISCO X. FLORES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 7022
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE ML 7022
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4531
  • Fax: 513-636-7407
Mailing address:
  • Phone: 513-636-4531
  • Fax: 513-636-7407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME69250
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number35.128815
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: