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General NPI Number Information
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NPI Number | 1043273519
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Entity Type | Individual
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Provider Name | JAIME JORGE FLORES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 141 N 6TH ST
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City | HAINES CITY
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State | FL
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Zip | 33844-4207
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Country | US
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Telephone | 407-201-7918
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Fax | 863-438-6624
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Provider Business Mailing Address
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Address Line | 141 N 6TH ST
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City | HAINES CITY
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State | FL
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Zip | 33844-4207
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Country | US
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Telephone | 863-353-1538
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Fax | 863-438-6624
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN292
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ACN292
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN 292
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13735
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License Number State | PR
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