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Individual
JOSHUA B FLOREZ
Active
Individual
JOSHUA B FLOREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004045A
IN
363A00000X
Physician Assistant
PA11420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540896
MEDICARE PTAN
IN
05
—
300078874
—
IN
Enumeration date
07/31/2017
Last updated
12/29/2023
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