De La Torre, Robert

De La Torre, Robert is an sole proprietor health care provider with primary practice located at 611 Zeagler Dr , Palatka FL 32177-3810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. De La Torre, Robert can be contacted via phone (386) 326-7850.

Contact Information

Primary practice address
611 Zeagler Dr Palatka FL 32177-3810
Fax: (386) 328-6351
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME78337 Florida

Profile Details

NPI number 1679501035
LBN Legal business name De La Torre, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Feb 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679501035 NPPES
Florida MEDICAID 300396500
Florida Other P00138445
Florida Other 46767

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