Healthcare Provider Details

I. General information

NPI: 1982450441
Provider Name (Legal Business Name): SEBASTIAN TORRES GONZALEZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11024 W COLONIAL DR STE 10
OCOEE FL
34761-2985
US

IV. Provider business mailing address

11024 W COLONIAL DR STE 10
OCOEE FL
34761-2985
US

V. Phone/Fax

Practice location:
  • Phone: 407-606-5968
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14366
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: