Healthcare Provider Details

I. General information

NPI: 1437026713
Provider Name (Legal Business Name): JEANETTE TORRES FARRO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3256 S PINE AVE STE B
OCALA FL
34471-6605
US

IV. Provider business mailing address

250 CARILLON PKWY UNIT 234
SAINT PETERSBURG FL
33716-1379
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-1919
  • Fax: 352-401-3539
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11043118
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: