Provider Demographics
NPI:1598778219
Name:FLORES-PERDIGON, CARMEN IRIS (OTR/L)
Entity type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:IRIS
Last Name:FLORES-PERDIGON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:268 FLEMING AVE
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3310
Mailing Address - Country:US
Mailing Address - Phone:561-304-1350
Mailing Address - Fax:561-753-7022
Practice Address - Street 1:12955 PALMS WEST DRIVE
Practice Address - Street 2:SUITE 202
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470
Practice Address - Country:US
Practice Address - Phone:561-753-7010
Practice Address - Fax:561-753-7022
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOT8125174400000X
225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics