Provider Demographics
NPI:1942247697
Name:TORRES, YOHANI (PA-C)
Entity Type:Individual
Prefix:
First Name:YOHANI
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 VETERANS PARK DR
Mailing Address - Street 2:STE 101
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0446
Mailing Address - Country:US
Mailing Address - Phone:239-597-4440
Mailing Address - Fax:239-597-4441
Practice Address - Street 1:990 TAMIAMI TRL N
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5403
Practice Address - Country:US
Practice Address - Phone:239-434-6300
Practice Address - Fax:239-434-5655
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9103638363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL759274OtherWELLCARE
FL1350368OtherCIGNA
FL398641OtherAVMED
FL009560600Medicaid
FLP1004735OtherFREEDOM
FLY0J2DOtherBCBS OF FL
FL4686600OtherAETNA
FLP01213813OtherRAILROAD MCR
FLP1004735OtherFREEDOM
FL398641OtherAVMED
FLQ70307Medicare UPIN