Provider Demographics
NPI:1205405990
Name:TORO LORENZO, INGRID ABDALA (APRN)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:ABDALA
Last Name:TORO LORENZO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14036 SW 51ST LN
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5973
Mailing Address - Country:US
Mailing Address - Phone:954-348-3037
Mailing Address - Fax:
Practice Address - Street 1:14036 SW 51ST LN
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-5973
Practice Address - Country:US
Practice Address - Phone:954-348-3037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11013762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily