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NPI Code Detail

MEDICARE: FLOR CENICEROS

MEDICARE: FLOR CENICEROS
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
1101YM0800XMental Health CounselorIMH29057FL

General Provider Information

NPI Number : 1184570186
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLOR CENICEROS
Provider Business Mailing Address
First Line : 5776 SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5776 SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8046
Country : US
Telephone Number : 904-338-3568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

Similar Medicare Providers

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1285189332 — MARY BETH REICHERT LCSW
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Directions to “ FLOR CENICEROS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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