Healthcare Provider Details
I. General information
NPI: 1538846183
Provider Name (Legal Business Name): EVENS TORCHON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1605 BRIAR OAK DR
ROYAL PALM BEACH FL
33411-6145
US
IV. Provider business mailing address
4801 NE 8TH AVE
OAKLAND PARK FL
33334-3215
US
V. Phone/Fax
- Phone: 561-628-2704
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 227800000X |
| Taxonomy | Certified Respiratory Therapist |
| License Number | RT10576 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: