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General NPI Number Information
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NPI Number | 1437621588
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Entity Type | Individual
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Provider Name | JOHNNY FLORES DDS
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Gender | Male
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1202 SE PORT ST LUCIE BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-5364
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Country | US
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Telephone | 772-335-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 SE MIDTOWN RD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-4832
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Country | US
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Telephone | 772-204-1111
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 103439
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 29983
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License Number State | FL
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