MEDICARE: MARISOL ARACELIS TORRES DNP, APRN, PMHNP-C

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
1	363LF0000X	Family Nurse Practitioner	11012129	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11012129	FL

General Provider Information

NPI Number	:	1326623638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISOL ARACELIS TORRES DNP, APRN, PMHNP-C

Provider Business Mailing Address
First Line	:	28210 PASEO DR STE 190-259
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-5392
Country	:	US
Telephone Number	:	813-670-7723
Fax Number	:	813-336-8927

Provider Business Practice Location Address
First Line	:	28210 PASEO DR STE 190-259
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-5392
Country	:	US
Telephone Number	:	813-670-7723
Fax Number	:	813-336-8927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	12/30/2024

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