Individual
RAFAEL FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1829 MULBERRYWOOD CT, ORLANDO, FL 32818-5823
(407) 694-5707
Mailing address
1829 MULBERRYWOOD CT, ORLANDO, FL 32818
(407) 694-5707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPTA1029
N/A
FL
Enumeration date
09/28/2017
Last updated
07/21/2022
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