Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PO 3289 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO 3289 | FL |
NPI | 1588702195 |
---|---|
Provider Name | Dr. Patrice Mechelle Torrence |
First Address | Fort Lauderdale, FL 33311-8306 |
Second Address | Fort Lauderdale, FL 33311-8306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2007 |
Last Update Date | 02/11/2011 |