Organization
ROBERT DE LA TORRE MD PA
Active
Organization
ROBERT DE LA TORRE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DE LA TORRE MD (OWNER)
(904) 824-4990
Entity
Organization
Contact information
Practice address
611 ZEAGLER DR, PALATKA, FL 32177-3810
(386) 328-5711
(386) 325-8178
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME78337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000UJ
BCBS
FL
05
—
270187100
—
FL
Enumeration date
05/27/2010
Last updated
08/24/2010
Update your record
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