Individual
LUZ TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2072 OPA LOCKA BLVD, OPA LOCKA, FL 33054-4228
(305) 688-8884
Mailing address
12813 SW 147TH ST, MIAMI, FL 33186-6390
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
SEA2323857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SEA2323857
STATE LICENSE
FL
Enumeration date
11/15/2013
Last updated
01/02/2014
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