Basic Information
Provider Information
NPI: 1861037806
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRES
FirstName: SILVIA
MiddleName: CAROLINA
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Credential:  
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Mailing Information
Address1: 17760 OAK BRIDGE ST
Address2:  
City: TAMPA
State: FL
PostalCode: 336472543
CountryCode: US
TelephoneNumber: 7862465195
FaxNumber:  
Practice Location
Address1: 7350 DAIRY RD
Address2:  
City: ZEPHYRHILLS
State: FL
PostalCode: 335401354
CountryCode: US
TelephoneNumber: 8137884300
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/13/2019
LastUpdateDate: 11/13/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT20418FLY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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