MEDICARE: ANDREA 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
1	363A00000X	Physician Assistant	PA9116515	FL

General Provider Information

NPI Number	:	1629795760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA TORRES PA-C

Provider Business Mailing Address
First Line	:	1200 W STATE ROAD 434 STE 112
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-4957
Country	:	US
Telephone Number	:	407-869-8747
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 W STATE ROAD 434 STE 112
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-4957
Country	:	US
Telephone Number	:	407-869-8747
Fax Number	:

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

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	12/26/2024

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Directions to “ ANDREA TORRES PA-C” Practice Location

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