Healthcare Provider Details

I. General information

NPI: 1073838611
Provider Name (Legal Business Name): TORY ROCHELLE TWITO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. TORY ROCHELLE WEBER

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6080 BOYNTON BEACH BLVD STE 240
BOYNTON BEACH FL
33437-3586
US

IV. Provider business mailing address

6080 BOYNTON BEACH BLVD STE 240
BOYNTON BEACH FL
33437-3586
US

V. Phone/Fax

Practice location:
  • Phone: 561-509-5009
  • Fax:
Mailing address:
  • Phone: 561-509-5009
  • Fax: 561-738-0556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS21466
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOP60585016
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A12114
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: