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Individual

MR. JOHN FLORES III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.P.T.A

Contact information

Practice address
12170 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-5100
Mailing address
12170 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-5100

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA09268
OH
225200000X
Physical Therapy Assistant
Primary
PTA24496
FL

Other

Enumeration date
11/30/2013
Last updated
11/30/2013
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