Healthcare Provider Details

I. General information

NPI: 1922724772
Provider Name (Legal Business Name): TORI C CULVER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 09/29/2026
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 HOLSONBACK DR
DAYTONA BEACH FL
32117-5114
US

IV. Provider business mailing address

1545 VALENCIA AVE
DAYTONA BEACH FL
32117-1435
US

V. Phone/Fax

Practice location:
  • Phone: 386-274-0500
  • Fax:
Mailing address:
  • Phone: 386-299-9171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11021883
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9432654
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number9432654
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: