MEDICARE: VILLAFLOR & VILLAFLOR A PROF CORP

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	207Q00000X	Family Medicine Physician	NV6918

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376560896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAFLOR & VILLAFLOR A PROF CORP

Provider Business Mailing Address
First Line	:	3650 S EASTERN AVE
Second Line	:	SUITE 210
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-3379
Country	:	US
Telephone Number	:	702-796-4007
Fax Number	:	702-796-3993

Provider Business Practice Location Address
First Line	:	3650 S EASTERN AVE
Second Line	:	SUITE 210
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-3379
Country	:	US
Telephone Number	:	702-796-4007
Fax Number	:	702-796-3993

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FLORENCE M VILLAFLOR
Credential	:	MD
Telephone Number	:	702-796-4007

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	08/22/2020

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Directions to “VILLAFLOR & VILLAFLOR A PROF CORP ” Practice Location

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