Provider Demographics
NPI:1154432375
Name:FLOR, CARL E (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:E
Last Name:FLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7068
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-0068
Mailing Address - Country:US
Mailing Address - Phone:757-686-3508
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:1016 INDEPENDENCE BLVD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5503
Practice Address - Country:US
Practice Address - Phone:757-460-3330
Practice Address - Fax:757-460-3781
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010445228207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA283929OtherBCBS
VA5902989OtherGHI
VA005642019Medicaid
VA005642019Medicaid
E51400Medicare UPIN