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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