Healthcare Provider Details

I. General information

NPI: 1427758036
Provider Name (Legal Business Name): TESSA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 W PALMETTO PARK RD
BOCA RATON FL
33433-3458
US

IV. Provider business mailing address

7301 W PALMETTO PARK RD
BOCA RATON FL
33433-3458
US

V. Phone/Fax

Practice location:
  • Phone: 561-571-7557
  • Fax:
Mailing address:
  • Phone: 561-571-7557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13380
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: