Organization
DR KENNETH E FLORO JR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA RENEE CHAMBERLIN (OFFICE ADMINISTRATOR)
(314) 750-0935
Entity
Organization
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
12/07/2007
Last updated
11/13/2008
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