Provider Demographics
NPI:1497338701
Name:SALAZAR DE TORRES, ANGELA PATRICIA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:PATRICIA
Last Name:SALAZAR DE TORRES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 LAKEVIEW DR STE 1001
Mailing Address - Street 2:
Mailing Address - City:FERN PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32730-2050
Mailing Address - Country:US
Mailing Address - Phone:407-900-0613
Mailing Address - Fax:
Practice Address - Street 1:2915 LAKEVIEW DR STE 1001
Practice Address - Street 2:
Practice Address - City:FERN PARK
Practice Address - State:FL
Practice Address - Zip Code:32730-2050
Practice Address - Country:US
Practice Address - Phone:074-900-0613
Practice Address - Fax:407-335-6945
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11012882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP2753OtherHF MA