Provider Demographics
NPI:1699319095
Name:TORO HERNANDEZ, NANDY JOEL (DC)
Entity type:Individual
Prefix:
First Name:NANDY
Middle Name:JOEL
Last Name:TORO HERNANDEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45677 HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33897-4546
Mailing Address - Country:US
Mailing Address - Phone:407-942-3258
Mailing Address - Fax:407-942-3316
Practice Address - Street 1:45677 HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33897-4546
Practice Address - Country:US
Practice Address - Phone:407-942-3258
Practice Address - Fax:407-942-3316
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No111N00000XChiropractic ProvidersChiropractor