Healthcare Provider Details

I. General information

NPI: 1942247697
Provider Name (Legal Business Name): YOHANI TORRES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11181 HEALTH PARK BLVD STE 1115
NAPLES FL
34110-5742
US

IV. Provider business mailing address

6321 DANIELS PKWY STE 200
FORT MYERS FL
33912-4710
US

V. Phone/Fax

Practice location:
  • Phone: 239-597-4440
  • Fax: 239-597-4441
Mailing address:
  • Phone: 239-416-8101
  • Fax: 239-402-8601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9103638
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: