Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME20652 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | ME20652 | FL |
N | 207ND0900X | Dermatopathologist | ME20652 | FL |
N | 207NS0135X | Procedural Dermatology | ME20652 | FL |
NPI | 1376561191 |
---|---|
Provider Name | Dr. Franklin P. Flowers |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 21/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
065439600 | (05) | FL |
C01307 | (02) | FL |