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NPI Code Detail

MEDICARE: MR. ANGEL E TORRES JR. LCSW

MEDICARE:  MR. ANGEL E TORRES JR. LCSW
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
11041C0700XClinical Social Worker16542FL

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 : 1417504309
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANGEL E TORRES JR. LCSW
Provider Business Mailing Address
First Line : 3549 SOMERSET PARK DR
Second Line :
City : ORLANDO
State : FL
Zip : 32824-7346
Country : US
Telephone Number : 407-488-4088
Fax Number :
Provider Business Practice Location Address
First Line : 111 E MONUMENT AVE UNIT 412
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-5774
Country : US
Telephone Number : 407-930-4711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2019
Last Update Date : 08/24/2019

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