OrganizationAdelina C. Flores, M.D. P.A.SpecialistOther Service ProvidersPractice Address2400 Harbor Blvd, Suite 12, Port Charlotte, FL 33952-5052(941) 629-4422PECOS EnrollmentBased on the most recent information from CMS, provider Adelina C. Flores, M.D. P.A. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 1:10 PM.Profile DetailsProvider ID1598076143Provider TypeOrganizationFull NameAdelina C. Flores, M.D. P.A.SubpartNoEnumeration Date6/29/2010Last Updated6/29/2010Contact InformationPractice LocationPractice Address2400 Harbor Blvd, Suite 12, Port Charlotte, FL 33952-5052Phone(941) 629-4422Fax(941) 627-3084Mailing LocationMailing Address2400 Harbor Blvd, Suite 12, Port Charlotte, FL 33952-5052Phone(941) 629-4422Fax(941) 627-3084Authorized OfficialNameFlores, Adelina C (Owner)Phone(941) 629-4422Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseME33549FloridaProvider IdentifiersIDDescriptionIssuerID1649253733DescriptionOtherIssuerINDIVIDUAL NPI 1649253733 DONE IN 2006Florida