Individual
MR. WILLIAM DOMINGO FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1530 SAINT CLAIR AVE NE, CLEVELAND, OH 44114-2004
(216) 535-9100
(216) 298-5015
Mailing address
1530 SAINT CLAIR AVE NE, CLEVELAND, OH 44114-2004
(216) 535-9100
(216) 298-5015
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.007917RX
OH
363AM0700X
Medical Physician Assistant
PA9101746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007792
—
OH
05
—
291168000
—
FL
Enumeration date
07/19/2006
Last updated
03/02/2023
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