Provider Demographics
NPI:1396928123
Name:TORRES, BENITO M (DO)
Entity type:Individual
Prefix:
First Name:BENITO
Middle Name:M
Last Name:TORRES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:631 MIDFLORIDA DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-4902
Mailing Address - Country:US
Mailing Address - Phone:863-583-4445
Mailing Address - Fax:863-225-5289
Practice Address - Street 1:631 MIDFLORIDA DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-4902
Practice Address - Country:US
Practice Address - Phone:863-583-4445
Practice Address - Fax:863-225-5289
Is Sole Proprietor?:No
Enumeration Date:2007-12-16
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34008893T208100000X
FLOS10656208VP0014X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine