Provider Demographics
NPI:1073346037
Name:ELEONOR FLORES, PRINCESS ELEONOR
Entity type:Individual
Prefix:MS
First Name:PRINCESS
Middle Name:ELEONOR
Last Name:ELEONOR FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 TAPESTRY PARK DR APT 201
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-0150
Mailing Address - Country:US
Mailing Address - Phone:210-929-4302
Mailing Address - Fax:
Practice Address - Street 1:2300 TAPESTRY PARK DR APT 201
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-0150
Practice Address - Country:US
Practice Address - Phone:210-929-4302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker