Marc Flores, COO

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

NH4991 Issued in FL

Practice address

355 Vat Rd
Osteen, FL 32764-9710

Phone

(352) 208-7556

NPI assigned

Dec 17, 2013

Last updated

Dec 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seacoast at Summers Pointe LLC

  dba The Lodge at Summers Pointe

  • Assisted Living Facility
  • Winchester, IN
  • NPI 1972301281
  Authorized official Same address or phone

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1053732081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 SE 6TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 VAT RD",
            "city": "OSTEEN",
            "state": "FL",
            "postal_code": "327649710",
            "telephone_number": "352-208-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARC",
        "credential": "COO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "NH4991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dannette Alexander
• Ronald Carson, OT, OTD, MHS, CLT
• Krysten Dolores Fonseca, LMHC
• Noveline Aungmin Higgins
• Hope Therapy Services, LLC
• Leslie Anne Limmer, RN, BSN, CRRN
• Brandie Metz

• Community Health Worker in Osteen, FL
• Providers in Osteen, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.