# WALDEMAR TORRES-CARLO MD PA

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

## Provider details

- **NPI number:** 1417139486
- **Authorized official:** DR. WALDEMAR TORRES-CARLO MD (PRESIDENT)
- **Authorized official phone:** (813) 868-5531

## Contact information

- **Practice address:** 4302 N HABANA AVE, SUITE 200, TAMPA, FL 33607-6367
- **Practice address phone:** (813) 868-5531
- **Practice address fax:** (813) 868-5532
- **Mailing address:** PO BOX 47777, TAMPA, FL 33646-0115
- **Mailing address phone:** (813) 868-5531
- **Mailing address fax:** (813) 868-5532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME90610 | FL | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 09/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 278403300 | — | FL |
| 01 | — | H42649 | UPIN | FL |