Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME0057385 | FL |
NPI | 1033102223 |
---|---|
Provider Name | Mark D Torke |
First Address | Palm Harbor, FL 34684-3676 |
Second Address | Palm Harbor, FL 34684-3676 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 31/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
063766100 | (05) | FL |