Healthcare Provider Details

I. General information

NPI: 1629404033
Provider Name (Legal Business Name): JENNIFER F TORRES-ORDINAS AP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 09/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 PINELAND CT APT A
SAINT CLOUD FL
34769-1524
US

IV. Provider business mailing address

330 PINELAND CT APT A
SAINT CLOUD FL
34769-1524
US

V. Phone/Fax

Practice location:
  • Phone: 407-738-7412
  • Fax:
Mailing address:
  • Phone: 407-738-7412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3272
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: