Provider Demographics
NPI:1447830070
Name:TORREYA HEALTH CARE INC
Entity type:Organization
Organization Name:TORREYA HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/APRN
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:WHITTAKER
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/APRN
Authorized Official - Phone:850-379-5800
Mailing Address - Street 1:17316 NORTH EAST SR 65
Mailing Address - Street 2:
Mailing Address - City:HOSFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32334-1957
Mailing Address - Country:US
Mailing Address - Phone:850-379-5800
Mailing Address - Fax:850-379-5811
Practice Address - Street 1:17316 NORTHEAST STATE ROAD HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:HOSFORD
Practice Address - State:FL
Practice Address - Zip Code:32334
Practice Address - Country:US
Practice Address - Phone:850-379-5800
Practice Address - Fax:850-379-5811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty