Provider Demographics
NPI:1659732519
Name:FLORES, NORMA
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NW 123RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-4537
Mailing Address - Country:US
Mailing Address - Phone:786-237-5657
Mailing Address - Fax:786-235-6225
Practice Address - Street 1:1065 NE 125TH ST STE 300
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5833
Practice Address - Country:US
Practice Address - Phone:786-221-0941
Practice Address - Fax:786-235-6225
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-18
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No174400000XOther Service ProvidersSpecialist