Provider Demographics
NPI:1407393267
Name:FLORES, ARLENE F (ARNP)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:F
Last Name:FLORES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 W MICHIGAN AVE STE 10C
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-2346
Mailing Address - Country:US
Mailing Address - Phone:850-438-5105
Mailing Address - Fax:888-660-1953
Practice Address - Street 1:945 W MICHIGAN AVE STE 10C
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-2346
Practice Address - Country:US
Practice Address - Phone:850-438-5105
Practice Address - Fax:888-660-1953
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-31
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9284585363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9284585OtherFLORIDA MEDICAL LICENSE