MEDICARE: JAMES ROBERT TORRICO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9106774	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720331341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ROBERT TORRICO PA-C

Provider Business Mailing Address
First Line	:	4790 BARKLEY CIRCLE
Second Line	:	BUILDING A
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7593
Country	:	US
Telephone Number	:	239-275-8882
Fax Number	:	239-275-1969

Provider Business Practice Location Address
First Line	:	4790 BARKLEY CIRCLE
Second Line	:	BUILDING A
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7593
Country	:	US
Telephone Number	:	239-275-8882
Fax Number	:	239-275-1969

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2012
Last Update Date	:	11/27/2023

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