MEDICARE: MS. DOLORES AIDA FLORES MS,LMHC

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	101YM0800X	Mental Health Counselor	MH 6069	FL

General Provider Information

NPI Number	:	1932317310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DOLORES AIDA FLORES MS,LMHC

Provider Business Mailing Address
First Line	:	9737 NW 41ST ST # 259
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33178-2924
Country	:	US
Telephone Number	:	305-494-9791
Fax Number	:

Provider Business Practice Location Address
First Line	:	14499 N DALE MABRY HWY STE 130S
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2071
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	01/11/2024

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