Individual
FLORAGRACE SURELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3877 PORTOLA PKWY, IRVINE, CA 92602-0828
(949) 557-0720
(949) 557-0721
Mailing address
233 N HOUSTON RD, SUITE 140E, WARNER ROBINS, GA 31093-3074
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A166549
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/14/2017
Last updated
02/23/2024
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