Healthcare Provider Details

I. General information

NPI: 1467369355
Provider Name (Legal Business Name): THALI TORRES DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10801 STARKEY RD STE 104-330
SEMINOLE FL
33777-1159
US

IV. Provider business mailing address

10801 STARKEY RD STE 104-330
SEMINOLE FL
33777-1159
US

V. Phone/Fax

Practice location:
  • Phone: 727-613-4137
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number15967
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15967
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: