Healthcare Provider Details

I. General information

NPI: 1437083995
Provider Name (Legal Business Name): CHRISTIAN NOEL TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S AVALON PARK BLVD STE 900
ORLANDO FL
32828-6702
US

IV. Provider business mailing address

8131 ALLURE CIR APT 1312
DEBARY FL
32713-2883
US

V. Phone/Fax

Practice location:
  • Phone: 407-805-1170
  • Fax:
Mailing address:
  • Phone: 788-316-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15809
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: