Provider Demographics
NPI:1174909873
Name:FLOWERS, DEANDRA STARLETTE
Entity type:Individual
Prefix:MS
First Name:DEANDRA
Middle Name:STARLETTE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5493 TIMBERLEAF BLVD
Mailing Address - Street 2:APT. 1411
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2170
Mailing Address - Country:US
Mailing Address - Phone:407-914-7448
Mailing Address - Fax:
Practice Address - Street 1:1221 W COLONIAL DR
Practice Address - Street 2:201
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7163
Practice Address - Country:US
Practice Address - Phone:407-270-7071
Practice Address - Fax:407-270-7072
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator