Broc Flores, DMD, P.a

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BROC FLORES, DMD, P.A

Practice address

5911 Timuquana Rd Ste 202
Jacksonville, FL 32210-8174

Phone

(904) 553-8114

NPI assigned

Oct 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Broc Flores, DMDNPI 1659711125

Title

Owner

Phone

(904) 553-8114

Specialties & licenses 1

Addresses

Other names 1

• Ortega Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Broc A Flores, DMD

  • Dentist
  • NPI 1659711125
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1043935596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 GLENDALE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058925",
            "telephone_number": "904-553-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 TIMUQUANA RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108174",
            "telephone_number": "904-553-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROC FLORES, DMD, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "BROC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-553-8114",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortega Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lodina Britton
• Broad Horizons Speech Therapy LLC
• Jacob Lucas Broadhurst, PT, DPT
• Laura Diane Broadhurst
• Adriana Chere Broadway
• Sacha Paul Broccard, MD
• Bernisha Brock-Robinson, RN
• Katelyn F Brock, MD
• Mitzi C Brock, MD
• Shelly Brock, ARNP

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.