Healthcare Provider Details

I. General information

NPI: 1093035636
Provider Name (Legal Business Name): MARTIN TORRENTS D.O., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2010
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 LAKE UNDERHILL RD STE 200
ORLANDO FL
32822-8204
US

IV. Provider business mailing address

7975 LAKE UNDERHILL RD STE 200
ORLANDO FL
32822-8204
US

V. Phone/Fax

Practice location:
  • Phone: 347-331-6533
  • Fax:
Mailing address:
  • Phone: 407-303-6830
  • Fax: 407-303-6839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number277954
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS18284
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number277954
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: