Healthcare Provider Details

I. General information

NPI: 1346668621
Provider Name (Legal Business Name): WILLIAM TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 04/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1486 SKEES RD STE A
WEST PALM BEACH FL
33411-2622
US

IV. Provider business mailing address

1486 SKEES RD STE A
WEST PALM BEACH FL
33411-2622
US

V. Phone/Fax

Practice location:
  • Phone: 954-793-8376
  • Fax: 954-828-2281
Mailing address:
  • Phone: 954-793-8376
  • Fax: 954-828-2281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: