MEDICARE: DR. JOHN AMABLE FLORES 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	207R00000X	Internal Medicine Physician	038698	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2338437	OTHER		AETNA
2	1541597	OTHER	CT	CIGNA
3	745874	OTHER		CONNECTICARE
4	010038698CT01	OTHER		BCBS
5	OV7401	OTHER	CT	HEALTHNET
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154341659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN AMABLE FLORES M.D.

Provider Business Mailing Address
First Line	:	115 TECHNOLOGY DR
Second Line	:	#A303
City	:	TRUMBULL
State	:	CT
Zip	:	06611-6337
Country	:	US
Telephone Number	:	203-268-4884
Fax Number	:	203-268-9371

Provider Business Practice Location Address
First Line	:	115 TECHNOLOGY DR
Second Line	:	#A303
City	:	TRUMBULL
State	:	CT
Zip	:	06611-6337
Country	:	US
Telephone Number	:	203-268-4884
Fax Number	:	203-268-9371

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	03/04/2008

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Directions to “ DR. JOHN AMABLE FLORES M.D.” Practice Location

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