Healthcare Provider Details

I. General information

NPI: 1689086209
Provider Name (Legal Business Name): HEATHER TORRES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER CARTER APRN

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

596 US HIGHWAY 27 N
AVON PARK FL
33825-2958
US

IV. Provider business mailing address

596 US HIGHWAY 27 N
AVON PARK FL
33825-2958
US

V. Phone/Fax

Practice location:
  • Phone: 863-314-8555
  • Fax: 863-453-3400
Mailing address:
  • Phone: 863-314-8555
  • Fax: 863-453-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9263758
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9263758
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: