Healthcare Provider Details

I. General information

NPI: 1417863861
Provider Name (Legal Business Name): BRIAN ZAMIR TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6007 W BURKE ST
TAMPA FL
33634-5132
US

IV. Provider business mailing address

6007 W BURKE ST
TAMPA FL
33634-5132
US

V. Phone/Fax

Practice location:
  • Phone: 813-331-0809
  • Fax:
Mailing address:
  • Phone: 813-331-0809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2840654
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: