Basic Information
Provider Information
NPI: 1619359239
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLORES GONZALEZ
FirstName: BARBARA
MiddleName: NAHIR
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 100371
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 326100371
CountryCode: US
TelephoneNumber: 3522650301
FaxNumber: 3522650627
Practice Location
Address1: 1600 SW ARCHER RD
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 326103003
CountryCode: US
TelephoneNumber: 3522655911
FaxNumber: 3522655606
Other Information
ProviderEnumerationDate: 06/19/2015
LastUpdateDate: 03/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LC0200XME144375FLN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000XME144375FLY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home