Provider Demographics
NPI:1336173657
Name:CONSTANTE J FLORA, M.D., LLC
Entity Type:Organization
Organization Name:CONSTANTE J FLORA, M.D., LLC
Other - Org Name:ALOHA MEDICAL CENTERS, KAUAI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSTANTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-246-3800
Mailing Address - Street 1:4484 PAHEE ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-2031
Mailing Address - Country:US
Mailing Address - Phone:808-246-3800
Mailing Address - Fax:808-246-3801
Practice Address - Street 1:4484 PAHEE ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-2031
Practice Address - Country:US
Practice Address - Phone:808-246-3800
Practice Address - Fax:808-246-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-9150207R00000X
HIMD-1690208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI101137OtherGROUP PIN
HI101137OtherGROUP PIN
HIF97706Medicare UPIN