Healthcare Provider Details

I. General information

NPI: 1740107820
Provider Name (Legal Business Name): LAURA ESKENAZI TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14310 N DALE MABRY HWY STE 290
TAMPA FL
33618-2059
US

IV. Provider business mailing address

15210 AMBERLY DR
TAMPA FL
33647-2196
US

V. Phone/Fax

Practice location:
  • Phone: 813-778-5682
  • Fax:
Mailing address:
  • Phone: 251-597-0575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8798
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: