Individual provider Active NPI

Elmer Flores, PA-C

  • Physician Assistant
  • Coral Springs, FL
National Provider Identifier
1932414059
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103423 Issued in FL
Practice address
3080 NW 99TH Ave FL 2
Coral Springs, FL 33065-4038
Phone
(954) 432-6595
Fax
(954) 432-6266
NPI assigned
Aug 12, 2010
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103423 FL Primary

Addresses

Primary practice location

3080 NW 99TH Ave FL 2
Coral Springs, FL 33065-4038

Mailing address

601 N Flamingo Rd Ste 403B
Pembroke Pines, FL 33028-1011
Phone (954) 432-6595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

322 22ND Ave N
Suite 500
Nashville, TN 37203-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9103423FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Taub MD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1932414059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 403B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281011",
            "telephone_number": "954-432-6595",
            "fax_number": "954-432-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 NW 99TH AVE FL 2",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654038",
            "telephone_number": "954-432-6595",
            "fax_number": "954-432-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ELMER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.