Organization
FLOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN WILLIAMS NP (MEDICAL DIRECTOR)
(208) 918-1638
Entity
Organization
Contact information
Practice address
849 N 4TH ST STE 103, COEUR D ALENE, ID 83814-3083
(208) 918-1638
Mailing address
849 N 4TH ST STE 103, COEUR D ALENE, ID 83814-3083
(208) 918-1638
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
02/11/2024
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