Provider Demographics
NPI:1710723010
Name:DE LA HOZ, FLORINDO (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:DR
First Name:FLORINDO
Middle Name:
Last Name:DE LA HOZ
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16864 SW 145TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2015
Mailing Address - Country:US
Mailing Address - Phone:786-295-2835
Mailing Address - Fax:
Practice Address - Street 1:13501 SW 128TH ST STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5863
Practice Address - Country:US
Practice Address - Phone:786-295-2835
Practice Address - Fax:305-503-7566
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2159P.A.363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical