Individual
MARIO DE JESUS TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4193
(863) 293-1121
Mailing address
745 E LOWELL ST, LAKELAND, FL 33805-3041
(646) 377-6293
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11022038
FL
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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