Healthcare Provider Details

I. General information

NPI: 1740841097
Provider Name (Legal Business Name): MRS. SOFIA TORCHON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 06/27/2019
Certification Date:
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

1605 BRIAR OAK DR
ROYAL PALM BEACH FL
33411-6145
US

V. Phone/Fax

Practice location:
  • Phone: 561-628-2697
  • Fax:
Mailing address:
  • Phone: 561-628-2697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: