Provider Demographics
NPI:1265167837
Name:FLORA LORNA CABREROS MD PA
Entity type:Organization
Organization Name:FLORA LORNA CABREROS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:LORNA
Authorized Official - Last Name:CABREROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-626-4208
Mailing Address - Street 1:5982 BERRYHILL RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-4001
Mailing Address - Country:US
Mailing Address - Phone:850-626-4208
Mailing Address - Fax:850-626-4211
Practice Address - Street 1:5982 BERRYHILL RD UNIT A
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-4001
Practice Address - Country:US
Practice Address - Phone:850-626-4208
Practice Address - Fax:850-626-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care