Provider Demographics
NPI:1346501830
Name:TORRES, MELISSA DAWN (DO)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:DAWN
Last Name:TORRES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2142 ALT 19 STE D
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-5361
Mailing Address - Country:US
Mailing Address - Phone:727-771-9399
Mailing Address - Fax:833-973-3693
Practice Address - Street 1:2142 ALT 19 STE D
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-5361
Practice Address - Country:US
Practice Address - Phone:727-719-3997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 12940207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHZ333YMedicare PIN