Provider Demographics
NPI:1316198781
Name:TORRES, DANIEL (CPH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4032 N 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1012
Mailing Address - Country:US
Mailing Address - Phone:954-303-5113
Mailing Address - Fax:561-883-3822
Practice Address - Street 1:4032 N 29TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1012
Practice Address - Country:US
Practice Address - Phone:954-303-5113
Practice Address - Fax:561-883-3822
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPU 45981835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric