| Torreya Health Care Inc | |
|
17316 Northeast State Road Highway 65 Hosford FL 32334 | |
| (850) 379-5800 | |
| (850) 379-5811 |
| Full Name | Torreya Health Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17316 Northeast State Road Highway 65, Hosford, Florida |
| Authorized Official Name and Position | Stanley Franklin Whittaker (OWNER/APRN) |
| Authorized Official Contact | 8503795800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Torreya Health Care Inc 17316 North East Sr 65 Hosford FL 32334-1957 Ph: (850) 379-5800 | Torreya Health Care Inc 17316 Northeast State Road Highway 65 Hosford FL 32334 Ph: (850) 379-5800 |
| NPI Number | 1447830070 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 12/12/2022 |
| Medicare PECOS PAC ID | 2860893203 |
|---|---|
| Medicare Enrollment ID | O20210623001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447830070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Stanley F Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760485189 PECOS PAC ID: 2567473531 Enrollment ID: I20060505000693 |
Liberty Community Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17316 Ne State Road 65, Hosford, FL 32334 Phone: 850-379-5800 Fax: 850-379-5811 |