Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | OS0009371 | FL |
NPI | 1003884784 |
---|---|
Provider Name | Andres Torres |
First Address | Orlando, FL 32891-7156 |
Second Address | Ocoee, FL 34761-3498 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16140 | BCBS (01) | FL |
I37570 | (02) | FL |