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Individual

DR. CARLOS A TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35071031
OH
207P00000X
Emergency Medicine Physician
Primary
ME110820
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004161200
FL
01
14H77
BCBS
FL
05
2370401
OH
01
311229292
GROUP FEDERAL TAX ID#
OH
Enumeration date
10/18/2006
Last updated
01/15/2013
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