Doctor Name: | TOMAS FLORES |
NPI Number: | 1003187048 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 114063 |
Business Practice Address: | 2626 Capital Medical Blvd Tallahassee, FL - 323084402 |
Business Phone Number: | 8503255000 |
Business Fax Number: | |
Mailing Address: | 2626 Capital Medical Blvd, TALLAHASSEE |
State: | FL |
Postal Code: | 323084402 |
Phone Number: | |
Fax Number: | 3232263867 |
NPI Enumeration Date: | 01/23/2012 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 114063 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |