Organization Active NPI

Flor LLC

  • Primary Care Clinic/Center
  • Coeur D Alene, ID
National Provider Identifier
1346002193
Registry record updated Feb 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FLOR LLC
Practice address
849 N 4TH St Ste 103
Coeur D Alene, ID 83814-3083
Phone
(208) 918-1638
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2024

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

Authorized official

Name
Dylan Williams, NPNPI 1578292918
Title
Medical Director
Phone
(208) 918-1638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

849 N 4TH St Ste 103
Coeur D Alene, ID 83814-3083

Mailing address

849 N 4TH St Ste 103
Coeur D Alene, ID 83814-3083
Phone (208) 918-1638

National Provider Directory

National Provider Directory

Locations

2005 N Ironwood Pkwy
Ste 222
Coeur D Alene, ID 83814
Phone (208) 719-6690

849 N 4th St
Ste 103
Coeur D Alene, ID 83814
Phone (208) 918-1638

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707609600000",
    "number": "1346002193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 N 4TH ST STE 103",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143083",
            "telephone_number": "208-918-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 N 4TH ST STE 103",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143083",
            "telephone_number": "208-918-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-918-1638",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; 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.