Provider Demographics
NPI:1346562105
Name:JOHN F TORREGROSA DPM PA INC
Entity Type:Organization
Organization Name:JOHN F TORREGROSA DPM PA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORREGROSA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-853-5151
Mailing Address - Street 1:PO BOX 1199
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-1199
Mailing Address - Country:US
Mailing Address - Phone:305-853-5151
Mailing Address - Fax:954-671-1222
Practice Address - Street 1:91550 OVERSEAS HWY STE 107
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2513
Practice Address - Country:US
Practice Address - Phone:305-853-5151
Practice Address - Fax:954-671-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5650AMedicare PIN