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Organization
BROC FLORES, DMD, P.A
Active
Organization
BROC FLORES, DMD, P.A
Active
Other names
Ortega Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BROC FLORES DMD (OWNER)
(904) 553-8114
Entity
Organization
Contact information
Practice address
5911 TIMUQUANA RD STE 202, JACKSONVILLE, FL 32210-8174
(904) 553-8114
Mailing address
1592 GLENDALE ST, JACKSONVILLE, FL 32205-8925
(904) 553-8114
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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