Mark F Florentine, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0640 Issued in AZ

Practice address

20402 N 15TH Ave
Phoenix, AZ 85027-3636

Phone

(623) 445-5000

NPI assigned

Mar 29, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467571273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E JAEGER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506836",
            "telephone_number": "480-473-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20402 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273636",
            "telephone_number": "623-445-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENTINE",
        "first_name": "MARK",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler M Florek
• Florence Crittenton Services of Arizona, Inc.
• Florence Crittenton Services of Arizona, Inc.
• Florence Wellness PLLC
• Bradley G Florence, DO
• Bernard M Florento, DDS
• Martha Delia Flores Griffith, PA
• Cesar Flores Rios, MSOT, OTR/L, CHT.
• Peter Javier Flores-Martin
• Alfonso Flores, CRNA

• All providers in Phoenix, AZ
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.