Individual
DR. KENNETH EUGENE FLORO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12639 OLD TESSON RD, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-2068
Mailing address
7822 TANAGER CT, SAINT LOUIS, MO 63119-5015
(314) 849-0311
(314) 849-2068
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R6907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201187101
—
MO
Enumeration date
07/11/2006
Last updated
11/13/2008
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