Active NPI
Michelle Adriana Flores, PA-C
- Physician Assistant
- Orlando, FL
National Provider Identifier
1548620883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9109287
- Practice address
- 960 Back Stage LN
Orlando, FL 32830-8472 - Phone
- (407) 934-4100
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9109287 | FL | Primary |
Addresses
Primary practice location
960 Back Stage LN
Orlando, FL 32830-8472
Mailing address
960 Backstage Lane
Lake Buena Vista, FL 32830
Phone (407) 934-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9109287 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sigma Medical Group, LLC | Past | Accepting new patients | |
| Wellmed Medical Management of Florida Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1831627579
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1548620883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 BACKSTAGE LANE",
"city": "LAKE BUENA VISTA",
"state": "FL",
"postal_code": "32830",
"telephone_number": "407-934-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 BACK STAGE LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328308472",
"telephone_number": "407-934-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "MICHELLE",
"middle_name": "ADRIANA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9109287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.