1336119387 NPI number — DR. FELIX RODRIGUEZ TORMES MD

Table of content: DR. FELIX RODRIGUEZ TORMES MD (NPI 1336119387)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336119387 NPI number — DR. FELIX RODRIGUEZ TORMES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORMES
Provider First Name:
FELIX
Provider Middle Name:
RODRIGUEZ
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336119387
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1065 HARBOR LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GULF BREEZE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32563-3315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-934-7046
Provider Business Mailing Address Fax Number:
850-505-6797

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HIGHWAY 98
Provider Second Line Business Practice Location Address:
NAVAL HOSPITAL
Provider Business Practice Location Address City Name:
PENSACOLA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-505-6797
Provider Business Practice Location Address Fax Number:
850-505-6262
Provider Enumeration Date:
01/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  ME78097 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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