MEDICARE: JORGE A FLORES

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	ME30606	FL
2	207RC0000X	Cardiovascular Disease Physician	ME30606	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396758074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE A FLORES

Provider Business Mailing Address
First Line	:	1900 E COMMERCIAL BLVD
Second Line	:	SUITE 101
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3737
Country	:	US
Telephone Number	:	954-771-9118
Fax Number	:	954-771-9586

Provider Business Practice Location Address
First Line	:	1900 E COMMERCIAL BLVD
Second Line	:	SUITE 101
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3737
Country	:	US
Telephone Number	:	954-771-9118
Fax Number	:	954-771-9586

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

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	05/22/2023

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1154334985 — ROBERT S MEIGS
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1710990585 — RICHARD K MASTROLE
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1900 E COMMERCIAL BLVD , SUITE 101
FT LAUDERDALE, FL
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1568475200 — PHI H LE
Practice Location Address:

1900 E COMMERCIAL BLVD , SUITE 101
FT LAUDERDALE, FL
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1518970110 — MRS. TERESA ANAYA HERNANDEZ MD
Practice Location Address:

1900 E COMMERCIAL BLVD , SUITE 202
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1508879123 — HOWARD S GILL
Practice Location Address:

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Directions to “ JORGE A FLORES ” Practice Location

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