Provider Demographics
NPI:1598749145
Name:FLORES, JOSE M (MD)
Entity Type:Individual
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First Name:JOSE
Middle Name:M
Last Name:FLORES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5800 COLONIAL DR
Mailing Address - Street 2:STE 405
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5682
Mailing Address - Country:US
Mailing Address - Phone:954-969-0074
Mailing Address - Fax:954-969-0590
Practice Address - Street 1:5800 COLONIAL DR
Practice Address - Street 2:STE 405
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5682
Practice Address - Country:US
Practice Address - Phone:954-969-0074
Practice Address - Fax:954-969-0590
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2011-10-17
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Provider Licenses
StateLicense IDTaxonomies
FL581342080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063814500Medicaid
E54593Medicare UPIN