MEDICARE: DR. STEPHEN L FLOORE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	017521	GA

General Provider Information

NPI Number	:	1033162003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN L FLOORE M.D.

Provider Business Mailing Address
First Line	:	950 4TH ST SE
Second Line	:	P.O. BOX 179
City	:	CAIRO
State	:	GA
Zip	:	39828-3064
Country	:	US
Telephone Number	:	229-377-7661
Fax Number	:	229-377-6832

Provider Business Practice Location Address
First Line	:	950 4TH ST SE
Second Line	:
City	:	CAIRO
State	:	GA
Zip	:	39828-3064
Country	:	US
Telephone Number	:	229-377-7661
Fax Number	:	229-377-6832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	02/19/2025

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