Provider Demographics
NPI:1326633041
Name:TORRES MORALES, JAILENE M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAILENE
Middle Name:M
Last Name:TORRES MORALES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14037 BENVOLIO CIR UNIT 104
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-5194
Mailing Address - Country:US
Mailing Address - Phone:787-432-4538
Mailing Address - Fax:
Practice Address - Street 1:8101 S JOHN YOUNG PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9021
Practice Address - Country:US
Practice Address - Phone:407-354-5474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS62042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist