Individual
DR. GRACE ELAINE TORRES-HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
9400 UNIVERSITY PKWY, SUITE 301, PENSACOLA, FL 32514-5752
(850) 478-8633
(850) 478-8579
Mailing address
9400 UNIVERSITY PKWY, SUITE 301, PENSACOLA, FL 32514-5752
(850) 478-8633
(850) 478-8579
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
240
AL
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO 2847
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
240
AL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 2847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240
ALABAMA LICENSE NUMBER
AL
01
—
519122001
MEDICARE DME SUPPLIER #
FL
01
—
65655
BLUE CROSS BLUE SHIELD FL
FL
01
—
PO 2847
FLORIDA LICENSE NUMBER
FL
Enumeration date
06/03/2006
Last updated
03/07/2023
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