Healthcare Provider Details

I. General information

NPI: 1689132425
Provider Name (Legal Business Name): SYLVIA TORRES-THOMAS PHD, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 03/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 S HIGHLAND ST
MOUNT DORA FL
32757-5702
US

IV. Provider business mailing address

706 CANADICE LN
WINTER SPRINGS FL
32708-5520
US

V. Phone/Fax

Practice location:
  • Phone: 352-729-0923
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11001800
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: