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NPI Code Detail

MEDICARE: DR. RENATO O FLORES MD

MEDICARE: DR. RENATO O FLORES MD
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
1207V00000XObstetrics & Gynecology PhysicianD37512MD

General Provider Information

NPI Number : 1750387908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RENATO O FLORES MD
Provider Business Mailing Address
First Line : 301 HOSPITAL DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5803
Country : US
Telephone Number : 410-787-4594
Fax Number :
Provider Business Practice Location Address
First Line : 301 HOSPITAL DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5803
Country : US
Telephone Number : 410-787-4594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/27/2014

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Directions to “ DR. RENATO O FLORES MD” Practice Location

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