Provider Demographics
NPI:1134478571
Name:TORRES, MARGARITA MARIA (PT)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:MARIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11680 LAKELAND ACRES RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-1006
Mailing Address - Country:US
Mailing Address - Phone:786-260-8856
Mailing Address - Fax:
Practice Address - Street 1:617 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-6952
Practice Address - Country:US
Practice Address - Phone:786-260-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27735225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist