Provider Demographics
NPI:1609838846
Name:TORRES, DEWEY P (MD)
Entity type:Individual
Prefix:
First Name:DEWEY
Middle Name:P
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2447
Mailing Address - Country:US
Mailing Address - Phone:850-477-2054
Mailing Address - Fax:850-478-2252
Practice Address - Street 1:4800 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2447
Practice Address - Country:US
Practice Address - Phone:850-477-2054
Practice Address - Fax:850-478-2252
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME29342208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD53256Medicare UPIN