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General NPI Number Information
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NPI Number | 1922006337
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Entity Type | Individual
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Provider Name | JOSE A FLORES GUEVARA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2005
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 4589 HENRY C. YATES LANE
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City | SAINT CLOUD
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State | FL
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Zip | 34769
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Country | US
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Telephone | 407-891-2010
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Fax | 407-891-8211
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Provider Business Mailing Address
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Address Line | 4589 HENRY C. YATES LN
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City | SAINT CLOUD
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State | FL
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Zip | 34769
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Country | US
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Telephone | 407-891-2010
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Fax | 407-891-8211
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11435
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME135894
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License Number State | FL
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