Individual
CARLOS MANUEL TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1007 PATHFINDER WAY, SUITE 130, ROCKLEDGE, FL 32955-3243
(321) 639-8090
(321) 639-8896
Mailing address
1007 PATHFINDER WAY, SUITE 130, ROCKLEDGE, FL 32955-3243
(321) 639-8090
(321) 639-8896
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME171196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263129600
—
FL
Enumeration date
09/26/2006
Last updated
04/25/2019
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