Individual
ROBERTO CHAVEZ FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101244495
VA
207L00000X
Anesthesiology Physician
A107447
CA
207L00000X
Anesthesiology Physician
D0068238
MD
207L00000X
Anesthesiology Physician
MD431389
PA
207L00000X
Anesthesiology Physician
Primary
ME106751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002232400
—
FL
05
—
119128
—
AL
01
—
148HF
BLUE CROSS BLUE SHIELD
FL
01
—
592-11592
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
05/22/2007
Last updated
03/06/2012
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