Individual
ALVIN TRACEY DETORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 BENMORE DR STE 100, WINTER PARK, FL 32792
(407) 644-4883
(407) 644-3697
Mailing address
133 BENMORE DR STE 100, WINTER PARK, FL 32792-4111
(407) 644-4883
(407) 644-3697
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME145495
FL
Other
Enumeration date
03/31/2014
Last updated
12/27/2021
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