Provider Demographics
NPI:1437317880
Name:TORRES, EVE (LMT)
Entity Type:Individual
Prefix:MS
First Name:EVE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3018 59TH ST S
Mailing Address - Street 2:APT. 207
Mailing Address - City:GULFPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33707-5726
Mailing Address - Country:US
Mailing Address - Phone:727-748-9017
Mailing Address - Fax:
Practice Address - Street 1:2309 49TH ST S
Practice Address - Street 2:GARDEN OF EVE STUDIO IN THE LONGHOUSE
Practice Address - City:GULFPORT
Practice Address - State:FL
Practice Address - Zip Code:33707-5139
Practice Address - Country:US
Practice Address - Phone:727-748-9017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-01
Last Update Date:2010-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA56685172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist