MEDICARE: SUMAYA C FLOREZ

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1518791516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMAYA C FLOREZ

Provider Business Mailing Address
First Line	:	1527 CHARMING NANCY RD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-8880
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3226 MAYBANK HWY STE C
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-4860
Country	:	US
Telephone Number	:	843-266-9800
Fax Number	:

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

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	08/30/2024

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Directions to “ SUMAYA C FLOREZ ” Practice Location

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