Healthcare Provider Details

I. General information

NPI: 1104660927
Provider Name (Legal Business Name): MRS. TORI BARRILLEAUX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 FIVAY RD STE 310
HUDSON FL
34667-7160
US

IV. Provider business mailing address

5350 SPRING HILL DR
SPRING HILL FL
34606-4562
US

V. Phone/Fax

Practice location:
  • Phone: 727-471-5882
  • Fax: 727-471-6112
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11033616
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: