Individual
JOSE MANUEL DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2014 ASHLEY OAKS CIR, SUITE 101, WESLEY CHAPEL, FL 33544-6400
(813) 253-2273
(813) 844-2279
Mailing address
2014 ASHLEY OAKS CIR, SUITE 101, WESLEY CHAPEL, FL 33544-6400
(813) 253-2273
(813) 844-2279
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME89848
FL
208VP0014X
Interventional Pain Medicine Physician
ME89848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269279100
—
FL
01
—
P00400544
RR MEDICARE
FL
Enumeration date
06/17/2005
Last updated
11/18/2013
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