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NPI Code Detail

MEDICARE: JESSICA FLORES M.S

MEDICARE:   JESSICA  FLORES  M.S
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
1101YM0800XMental Health CounselorIMH9974FL

General Provider Information

NPI Number : 1760812424
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA FLORES M.S
Provider Business Mailing Address
First Line : 1348 EPSON OAKS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32837-6324
Country : US
Telephone Number : 407-716-0206
Fax Number :
Provider Business Practice Location Address
First Line : 2479 ALOMA AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-2541
Country : US
Telephone Number : 407-657-6692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2013
Last Update Date : 11/17/2013

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Directions to “ JESSICA FLORES M.S” Practice Location

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