Provider Demographics
NPI:1033102223
Name:TORKE, MARK D (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:D
Last Name:TORKE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3890 TAMPA RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3676
Mailing Address - Country:US
Mailing Address - Phone:727-787-5577
Mailing Address - Fax:727-781-7757
Practice Address - Street 1:3890 TAMPA RD
Practice Address - Street 2:SUITE 202
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3676
Practice Address - Country:US
Practice Address - Phone:727-787-5577
Practice Address - Fax:727-781-7757
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2022-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0057385207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063766100Medicaid
FL063766100Medicaid
FL10861CMedicare PIN