Individual
NATHANIEL FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8501 TEMPLE TERRACE HIGHWAY, TAMPA, FL 33637
(813) 972-2000
Mailing address
4522 W VILLAGE DR UNIT 1321, TAMPA, FL 33624-3429
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
PY12040
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
NO INSURANCE
PA
Enumeration date
07/24/2017
Last updated
03/05/2025
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