Provider Demographics
NPI:1609860444
Name:CARMAIN, TORR ERIK (MD)
Entity Type:Individual
Prefix:MISS
First Name:TORR
Middle Name:ERIK
Last Name:CARMAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 W HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4717
Mailing Address - Country:US
Mailing Address - Phone:352-726-3646
Mailing Address - Fax:352-726-0079
Practice Address - Street 1:403 W HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4717
Practice Address - Country:US
Practice Address - Phone:352-726-3646
Practice Address - Fax:352-726-0079
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2022-02-10
Deactivation Date:2006-03-25
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
FLME110604208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003581700Medicaid
FLFG732ZMedicare PIN