Provider Demographics
NPI:1922043769
Name:FLOREZ, MONICA V (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:V
Last Name:FLOREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1447 MEDICAL PARK BLVD
Mailing Address - Street 2:#402
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414
Mailing Address - Country:US
Mailing Address - Phone:561-790-2600
Mailing Address - Fax:561-790-1535
Practice Address - Street 1:1447 MEDICAL PARK BLVD
Practice Address - Street 2:#402
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-790-2600
Practice Address - Fax:561-790-1535
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME81438208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261601700Medicaid
FL261601700Medicaid