Healthcare Provider Details

I. General information

NPI: 1093931545
Provider Name (Legal Business Name): TORRES-HODGES, DPM, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 UNIVERSITY PKWY SUITE 301
PENSACOLA FL
32514-5752
US

IV. Provider business mailing address

9400 UNIVERSITY PKWY SUITE 301
PENSACOLA FL
32514-5752
US

V. Phone/Fax

Practice location:
  • Phone: 850-478-8633
  • Fax: 850-478-8579
Mailing address:
  • Phone: 850-478-8633
  • Fax: 850-478-8579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberPO 2847
License Number StateFL

VIII. Authorized Official

Name: DR. GRACE ELAINE TORRES-HODGES
Title or Position: OWNER
Credential: DPM
Phone: 850-478-8633