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NPI Code Detail

MEDICARE: VICTORIA FLOREZ PA

MEDICARE: VICTORIA FLOREZ PA
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
1363A00000XPhysician AssistantTX
2363A00000XPhysician AssistantPA12073TX

General Provider Information

NPI Number : 1447745104
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA FLOREZ PA
Provider Business Mailing Address
First Line : 1000 W CANNON ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3029
Country : US
Telephone Number : 817-725-7900
Fax Number :
Provider Business Practice Location Address
First Line : 3308 DEEN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-6524
Country : US
Telephone Number : 817-702-1100
Fax Number : 817-702-7147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2018
Last Update Date : 04/02/2025

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Directions to “ VICTORIA FLOREZ PA” Practice Location

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