Provider Demographics
NPI:1174592638
Name:TORRES, JAIME LUIS II (MD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:LUIS
Last Name:TORRES
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:14690 SPRING HILL DR
Mailing Address - Street 2:STE 305
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:840 S BEA AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-3603
Practice Address - Country:US
Practice Address - Phone:352-522-0094
Practice Address - Fax:352-522-0098
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2024-10-15
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Provider Licenses
StateLicense IDTaxonomies
HI12707208D00000X
FLME123151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL150K5OtherBCBS
FL014708000Medicaid