Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 72663 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | 72663 | FL |
NPI | 1114914934 |
---|---|
Provider Name | Dr. Francisco Flores |
First Address | Miramar, FL 33027-4712 |
Second Address | Miramar, FL 33027-4712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 20/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H45315 | (02) | FL |
LO644 | LO644 (01) | FL |