Provider Demographics
NPI:1124106497
Name:JORGE L FLORIN MD PA
Entity type:Organization
Organization Name:JORGE L FLORIN MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:FLORIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-521-3600
Mailing Address - Street 1:10000 W COLONIAL DR
Mailing Address - Street 2:SUITE 288
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3498
Mailing Address - Country:US
Mailing Address - Phone:407-521-3600
Mailing Address - Fax:407-521-3603
Practice Address - Street 1:10000 W COLONIAL DR
Practice Address - Street 2:SUITE 288
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3498
Practice Address - Country:US
Practice Address - Phone:407-521-3600
Practice Address - Fax:407-521-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252331100Medicaid
FL21364OtherBCBS GROUP NUMBER
FL252331100Medicaid