Provider Demographics
NPI:1538742242
Name:FLORADI PLLC
Entity type:Organization
Organization Name:FLORADI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:IFEOMA
Authorized Official - Last Name:ADIMORA-NWEKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-691-0462
Mailing Address - Street 1:PO BOX 301030
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230-1030
Mailing Address - Country:US
Mailing Address - Phone:415-691-0462
Mailing Address - Fax:
Practice Address - Street 1:1210 KINGSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1277
Practice Address - Country:US
Practice Address - Phone:415-691-0462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty