Provider Demographics
NPI:1790741783
Name:FLORIN, TODD JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:JEFFREY
Last Name:FLORIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21110 BISCAYNE BLVD STE 403
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1252
Mailing Address - Country:US
Mailing Address - Phone:786-565-2400
Mailing Address - Fax:786-565-2401
Practice Address - Street 1:21110 BISCAYNE BLVD STE 403
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1252
Practice Address - Country:US
Practice Address - Phone:786-565-2400
Practice Address - Fax:786-565-2401
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-01430207R00000X, 207RC0001X
FLME0070877207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL41664OtherVISTA
650685788OtherGREAT WEST CARE
FL251736100Medicaid
FL650685788OtherJMH
FL31369OtherBLUE CROSS BLUE SHIELD
FL650685788OtherHUMANA
2589665OtherGHI
FL21149365180OtherBEECHSTREET
FL23120OtherNHP
FL650685788OtherUNITED HEALTHCARE
FL9032430002OtherCIGNA
FLME0070877OtherLICENSE NUMBER
FL2678722OtherAETNA
FL815649OtherFIRST HEALTH
FL241369OtherAVMED
650685788OtherONE SOURCE HEALTH NETWORK
650685788OtherPHCS
650685788OtherPREFERRED CARE PARTNERS
FL251736100Medicaid
FLME0070877Medicare PIN