Provider Demographics
NPI:1508891045
Name:TORRES, SHARON GRACE (APRN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:GRACE
Last Name:TORRES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:GRACE
Other - Last Name:FALLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 SW 12TH ST STE 201B
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6521
Mailing Address - Country:US
Mailing Address - Phone:352-291-0019
Mailing Address - Fax:352-291-0097
Practice Address - Street 1:40 SW 12TH ST STE 201B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6521
Practice Address - Country:US
Practice Address - Phone:352-291-0019
Practice Address - Fax:352-291-0097
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2718702363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304704100Medicaid
FL304704100Medicaid