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Individual

DR. DIEGO T. TORRES II II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
325 CLYDE MORRIS BLVD, STE 320, ORMOND BEACH, FL 32174-8179
(386) 676-2367
(386) 615-6402
Mailing address
325 CLYDE MORRIS BLVD, STE 320, ORMOND BEACH, FL 32174-8179
(386) 676-2367
(386) 615-6402

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 79483
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10D1017164
CLIA WAIVED CERT. NUMBER
FL
01
115035
FLORIDA HEALTHCARE NUMBER
FL
01
2124011
FIRST HEALTH
FL
01
2675770
AETNA HMO/QPOS
FL
01
364530402
FLORIDA MEMORIAL HOSPITAL
FL
01
3740307
CIGNA
FL
01
49907
BLUE CROSS BLUE SHIELD FL
FL
01
53955
SOUTH CARE/GEHA
FL
01
7835270
AETNA PPO/POS
FL
01
DA2751
MEDICARE RAILROAD
FL
01
ME 79483
MEDICAL LICENSE
FL
01
P 12014598
MULTIPLAN
FL
01
P00039042
MEDICARE RAILROAD IND.
FL
Enumeration date
06/14/2005
Last updated
03/07/2023
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