| Flor LLC | |
|
849 N 4th St Ste 103 Coeur D Alene ID 83814-3083 | |
| (208) 918-1638 | |
| Not Available |
| Full Name | Flor LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 849 N 4th St Ste 103, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Dylan Williams (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2089181638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flor LLC 849 N 4th St Ste 103 Coeur D Alene ID 83814-3083 Ph: (208) 918-1638 | Flor LLC 849 N 4th St Ste 103 Coeur D Alene ID 83814-3083 Ph: (208) 918-1638 |
| NPI Number | 1346002193 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 02/11/2024 |
| Certification Date | 02/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346002193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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