Provider Demographics
NPI:1114956836
Name:FLOCARE, INC.
Entity Type:Organization
Organization Name:FLOCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALLMANDER
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:972-943-3950
Mailing Address - Street 1:5911 WILLIAMSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2135
Mailing Address - Country:US
Mailing Address - Phone:972-943-3950
Mailing Address - Fax:
Practice Address - Street 1:5911 WILLIAMSTOWN RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2135
Practice Address - Country:US
Practice Address - Phone:972-943-3950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36537293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXW26860Medicare UPIN
TXFTVX01Medicare ID - Type Unspecified