Dr. John Flaherty, MD
Family Medicine in Titusville, FL. Individual provider (NPI-1).
NPI number1821089301
StatusActive
Last updated in NPPESDec 5, 2024
Details
- NPI
- 1821089301
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Flaherty
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2005
- Certification date
- Dec 5, 2024
- Last updated
- Dec 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME47149 | FL | Yes |
Practice location
1855 Knox McRae DrTitusville, FL 32780
Phone 321-269-2028 · Fax 321-264-0730
Mailing address
3300 S Fiske BlvdRockledge, FL 32955-4306
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