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NPI Code Detail

MEDICARE: ANDRES FLORES ATC

MEDICARE:   ANDRES  FLORES  ATC
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1538987805
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRES FLORES ATC
Provider Business Mailing Address
First Line : 5012 FIR ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-1317
Country : US
Telephone Number : 619-723-5437
Fax Number :
Provider Business Practice Location Address
First Line : 5012 FIR ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-1317
Country : US
Telephone Number : 619-723-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2024
Last Update Date : 09/26/2024

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Directions to “ ANDRES FLORES ATC” Practice Location

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