Provider Demographics
NPI:1326220344
Name:DELFLORE, PATRICK LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:LOUIS
Last Name:DELFLORE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:PATRICK
Other - Middle Name:L
Other - Last Name:DELFLORE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:931 CENTRE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714
Mailing Address - Country:US
Mailing Address - Phone:407-788-8388
Mailing Address - Fax:407-788-8624
Practice Address - Street 1:931 CENTRE CIRCLE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714
Practice Address - Country:US
Practice Address - Phone:407-788-8388
Practice Address - Fax:407-788-8624
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN56781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice