Individual
MR. MICHAEL FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1528 DEL PRADO BLVD S, CAPE CORAL, FL 33990-3798
(239) 458-3338
(239) 458-0666
Mailing address
PO BOX 62707, FORT MYERS, FL 33906-2707
(239) 931-3440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291844700
—
FL
Enumeration date
03/11/2007
Last updated
12/05/2016
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