Individual
ROBERT DEFLORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3868
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
ME 103766
FL
Other
Enumeration date
05/09/2007
Last updated
11/03/2011
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