# ROYAL PALM ORTHOPEDICS SPORTS MEDICINE AND INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396625455
- **Authorized official:** BENITO TORRES DO (PHYSICIAN)
- **Authorized official phone:** (863) 324-6100

## Contact information

- **Practice address:** 1120 CARLTON AVE STE 1400, LAKE WALES, FL 33853-4347
- **Practice address phone:** (863) 324-6100
- **Practice address fax:** (863) 324-6111
- **Mailing address:** 1120 CARLTON AVE STE 1400, LAKE WALES, FL 33853-4347
- **Mailing address phone:** (863) 324-6100
- **Mailing address fax:** (863) 324-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/08/2025
- **Last updated:** 09/08/2025