Individual
DR. JERRY F FLORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11480 BROOKSHIRE AVE, SUITE 300, DOWNEY, CA 90241-5026
(562) 862-2775
(562) 904-8095
Mailing address
75 REMITTANCE DR, DEPT 6008, CHICAGO, IL 60675-6008
(562) 282-1419
(562) 920-4642
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G42959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00429590
—
CA
01
—
00G42959
BLUE SHIELD
CA
05
—
00G429590
—
CA
01
—
060064763
RAILROAD MEDICARE
CA
Enumeration date
07/31/2006
Last updated
09/21/2016
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