Organization Active NPI

Adelina C. Flores, M.D. P.a.

  • Specialist
  • Port Charlotte, FL
National Provider Identifier
1598076143
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME33549 Issued in FL
Legal business name
ADELINA C. FLORES, M.D. P.A.
Practice address
2400 Harbor Blvd
Suite 12
Port Charlotte, FL 33952-5052
Phone
(941) 629-4422
Fax
(941) 627-3084
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Adelina C Flores, M.DNPI 1649253733
Title
Owner
Phone
(941) 629-4422

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME33549 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd
Suite 12
Port Charlotte, FL 33952-5052

Mailing address

2400 Harbor Blvd
Suite 12
Port Charlotte, FL 33952-5052
Phone (941) 629-4422

Other identifiers 1

IdentifierTypeStateIssuer
1649253733OtherFLINDIVIDUAL NPI 1649253733 DONE IN 2006

National Provider Directory

National Provider Directory

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": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1598076143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "SUITE 12",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-629-4422",
            "fax_number": "941-627-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "SUITE 12",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-629-4422",
            "fax_number": "941-627-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELINA C. FLORES, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-629-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME33549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI 1649253733 DONE IN 2006",
            "identifier": "1649253733",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.