MEDICARE: DR. OLINDA FLORO 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
1	111N00000X	Chiropractor	2860	MN

General Provider Information

NPI Number	:	1457450504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. OLINDA FLORO PA

Provider Business Mailing Address
First Line	:	9198 E STARING LN
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55347-2518
Country	:	US
Telephone Number	:	952-934-7582
Fax Number	:	952-949-6989

Provider Business Practice Location Address
First Line	:	9198 E STARING LN
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55347-2518
Country	:	US
Telephone Number	:	952-934-7582
Fax Number	:	952-949-6989

Authorized Official
Title or Position	:	OWNER
Name	:	DR. OLINDA FLORO
Credential	:	D.C.
Telephone Number	:	952-934-7582

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	06/05/2013

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