Provider Demographics
NPI:1508843830
Name:FLOROS, ROBERT CHARLES (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHARLES
Last Name:FLOROS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1316
Mailing Address - Country:US
Mailing Address - Phone:610-687-1400
Mailing Address - Fax:610-687-1065
Practice Address - Street 1:860 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1316
Practice Address - Country:US
Practice Address - Phone:610-687-1400
Practice Address - Fax:610-687-1065
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00225300213ES0103X
PASC002719L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA484768S58Medicare PIN
T30674Medicare UPIN
PA5579940001Medicare NSC