Provider Demographics
NPI:1811160583
Name:GARY R TORIAN MD PA
Entity type:Organization
Organization Name:GARY R TORIAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:TORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-561-3593
Mailing Address - Street 1:1240 SEMINOLE DR
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1606
Mailing Address - Country:US
Mailing Address - Phone:954-561-3593
Mailing Address - Fax:
Practice Address - Street 1:1240 SEMINOLE DR
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1606
Practice Address - Country:US
Practice Address - Phone:954-561-3593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93648Medicare PIN