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NPI Code Detail

MEDICARE: MR. JOHN ANTHONY TORRES PA-C

MEDICARE: MR. JOHN ANTHONY TORRES PA-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
1363A00000XPhysician AssistantPA9102543FL
2363AM0700XMedical Physician AssistantPA9102543FL
3363AS0400XSurgical Physician AssistantPA9102543FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3K0493OTHERGROUP MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538203641
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN ANTHONY TORRES PA-C
Provider Business Mailing Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line : SUITE 250
City : FORT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-791-6146
Fax Number : 954-337-2733
Provider Business Practice Location Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line : SUITE 250
City : FORT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-791-6146
Fax Number : 954-337-2733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 04/27/2017

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Directions to “ MR. JOHN ANTHONY TORRES PA-C” Practice Location

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