Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME60281 | FL |
N | 111NI0900X | Internist | ME60281 | FL |
N | 207RH0000X | Hematologist | ME60281 | FL |
Y | 207RX0202X | Medical Oncology | ME60281 | FL |
NPI | 1003809435 |
---|---|
Provider Name | Dr. Maria R Flores |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Orlando, FL 32806-1124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
378696000 | (05) | FL |
F8828 | (02) | FL |