Provider Demographics
NPI:1073838611
Name:TWITO, TORY ROCHELLE (DO)
Entity type:Individual
Prefix:MS
First Name:TORY
Middle Name:ROCHELLE
Last Name:TWITO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:TORY
Other - Middle Name:ROCHELLE
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6080 BOYNTON BEACH BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3586
Mailing Address - Country:US
Mailing Address - Phone:561-509-5009
Mailing Address - Fax:561-738-0556
Practice Address - Street 1:865 3RD AVE STE 101
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-1349
Practice Address - Country:US
Practice Address - Phone:619-426-7910
Practice Address - Fax:619-426-2337
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12114208000000X
WAOP60585016208000000X
FLOS21466208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics