| Maria C Torres Md Llc | |
|
766 Country Club Dr Titusville FL 32780-4900 | |
| (321) 264-1052 | |
| (321) 264-0778 |
| Full Name | Maria C Torres Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 766 Country Club Dr, Titusville, Florida |
| Authorized Official Name and Position | Maria C Torres (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3212641052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria C Torres Md Llc 766 Country Club Dr Titusville FL 32780-4900 Ph: (321) 264-1052 | Maria C Torres Md Llc 766 Country Club Dr Titusville FL 32780-4900 Ph: (321) 264-1052 |
| NPI Number | 1225223985 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 10/01/2012 |
| Medicare PECOS PAC ID | 2961599022 |
|---|---|
| Medicare Enrollment ID | O20071106000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225223985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME90321 (Florida) | Primary |
| Provider Name | Maria C Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104928167 PECOS PAC ID: 9234108911 Enrollment ID: I20040929000635 |
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