Provider Demographics
NPI:1932934312
Name:FLOREXIL, HOLIOOD
Entity type:Individual
Prefix:
First Name:HOLIOOD
Middle Name:
Last Name:FLOREXIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 SE WEST SNOW RD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-6522
Mailing Address - Country:US
Mailing Address - Phone:772-281-4588
Mailing Address - Fax:772-249-5295
Practice Address - Street 1:3205 SE WEST SNOW RD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-6522
Practice Address - Country:US
Practice Address - Phone:772-281-4588
Practice Address - Fax:772-249-5295
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services