Provider Demographics
NPI:1326203647
Name:TORIBIO MEDICAL INC
Entity Type:Organization
Organization Name:TORIBIO MEDICAL INC
Other - Org Name:TORIBIO MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FIORDALIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORIBIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-886-0713
Mailing Address - Street 1:6301 MEMORIAL HWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4573
Mailing Address - Country:US
Mailing Address - Phone:813-886-0713
Mailing Address - Fax:813-881-1848
Practice Address - Street 1:8001 N DALE MABRY HWY STE 601
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3290
Practice Address - Country:US
Practice Address - Phone:813-886-0713
Practice Address - Fax:813-881-1848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 88065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267554401Medicaid
FL267554400Medicaid
FL81090UOtherMEDICARE PTAN - INDIVIDUAL
FLBM894AOtherMEDICARE PTAN - GROUP
FL81090ZMedicare PIN
FLH92923Medicare UPIN