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NPI Code Detail

MEDICARE: DR. GEORGE FLORES JR. L.M.T,A.P.,REV.

MEDICARE:  DR. GEORGE  FLORES JR. L.M.T,A.P.,REV.
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
1101YP1600XPastoral CounselorFL
2171100000XAcupuncturistAP1430FL
3171100000XAcupuncturistDA00155RI
4171100000XAcupuncturist0121000504VA

General Provider Information

NPI Number : 1477707594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE FLORES JR. L.M.T,A.P.,REV.
Provider Business Mailing Address
First Line : 225 NE 90TH ST
Second Line :
City : EL PORTAL
State : FL
Zip : 33138-3123
Country : US
Telephone Number : 305-298-1644
Fax Number :
Provider Business Practice Location Address
First Line : 225 NE 90TH ST
Second Line :
City : EL PORTAL
State : FL
Zip : 33138-3123
Country : US
Telephone Number : 305-298-1644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2008
Last Update Date : 11/17/2008

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Directions to “ DR. GEORGE FLORES JR. L.M.T,A.P.,REV.” Practice Location

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