Provider Demographics
NPI:1194122770
Name:FLOREZ-WHITE, MERCEDES (MD)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:
Last Name:FLOREZ-WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 SW 8TH STREET AHC 4-250W3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33199
Mailing Address - Country:US
Mailing Address - Phone:305-318-0995
Mailing Address - Fax:305-348-7431
Practice Address - Street 1:11200 SW 8TH ST
Practice Address - Street 2:AHC4-250W3
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33199-2516
Practice Address - Country:US
Practice Address - Phone:305-318-0996
Practice Address - Fax:305-348-7431
Is Sole Proprietor?:No
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMFC 1727207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology