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Individual

ANTOLIN S FLORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 W 10TH AVE, N429 DOAN, COLUMBUS, OH 43210-1240
(614) 293-4705
Mailing address
410 W 10TH AVE, N429 DOAN, COLUMBUS, OH 43210-1240
(614) 293-4705

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.097119
OH
207L00000X
Anesthesiology Physician
49718
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
694600000
MN
Enumeration date
06/18/2007
Last updated
09/17/2012
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