Active NPI
Michael Flores, PA-C
- Medical Physician Assistant
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9101210
- Practice address
- 1528 Del Prado Blvd S
Cape Coral, FL 33990-3798 - Phone
- (239) 458-3338
- Fax
- (239) 458-0666
- NPI assigned
- Mar 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
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
- Brooksville, FL
- NPI 1073131702
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1861410656
-
- Internal Medicine Physician
- Venice, FL
- NPI 1407806094
-
- Hospitalist Physician
- Fort Myers, FL
- NPI 1033402185
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000020 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current |
Accepting new patients | |
| Millennium Physician Group LLC | Current |
Accepting new patients | |
| Internal Medicine Associates of Lee County Hospitalist Group, LLC | Past | Accepting new patients | |
| Emergency Physicians of Naples PLLC | Past | Accepting new patients | |
| Gulf Coast Hma Physician Management LLC | Past | Accepting new patients |
Locations
24600 S Tamiami Trl
Ste 400
Bonita Springs, FL 34134
Phone (239) 948-3761
1528 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 458-3338
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9101210 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1528 Del Prado Blvd S
Cape Coral, FL 33990-3798
Mailing address
PO Box 62707
Fort Myers, FL 33906-2707
Phone (239) 931-3440
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291844700 | Medicaid | FL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2016.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1689706152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62707",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339062707",
"telephone_number": "239-931-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903798",
"telephone_number": "239-458-3338",
"fax_number": "239-458-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-11",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291844700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.