Healthcare Provider Details

I. General information

NPI: 1942837828
Provider Name (Legal Business Name): CAMILA TORRES HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 S ORANGE BLOSSOM TRL
ORLANDO FL
32809-5745
US

IV. Provider business mailing address

6900 S ORANGE BLOSSOM TRL
ORLANDO FL
32809-5745
US

V. Phone/Fax

Practice location:
  • Phone: 321-445-1287
  • Fax: 407-386-7448
Mailing address:
  • Phone: 321-445-1287
  • Fax: 407-386-7448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13270
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: