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NPI Code Detail

MEDICARE: MRS. LUZ M TORRES MD

MEDICARE: MRS. LUZ M TORRES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME88866FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265548200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LUZ M TORRES MD
Provider Business Mailing Address
First Line : 13110 ELK MOUNTAIN DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7182
Country : US
Telephone Number : 813-349-7568
Fax Number : 813-349-7561
Provider Business Practice Location Address
First Line : 313 S LAKEWOOD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-2815
Country : US
Telephone Number : 813-349-7900
Fax Number : 813-685-2110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 05/31/2016

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