| Robert De La Torre, MD | |
|
611 Zeagler Dr, Palatka, FL 32177-3810 | |
| (386) 326-7850 | |
| (386) 328-6351 |
| Full Name | Robert De La Torre |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 26 Years |
| Location | 611 Zeagler Dr, Palatka, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679501035 | NPI | - | NPPES |
| 300396500 | Medicaid | FL | |
| P00138445 | Other | FL | RR MEDICARE |
| 46767 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME78337 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quiescence Anesthesia Llc | 2567750359 | 14 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Innovative Medical Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
| Entity Name | Orange City Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972882314 PECOS PAC ID: 2365617016 Enrollment ID: O20111208000641 |
| Entity Name | Amsurg Port Orange Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043654270 PECOS PAC ID: 6406098235 Enrollment ID: O20130807000756 |
| Entity Name | Quiescence Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942671805 PECOS PAC ID: 2567750359 Enrollment ID: O20161011001486 |
| Entity Name | Tranquil Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235514456 PECOS PAC ID: 0749598001 Enrollment ID: O20161202000506 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Entity Name | Metro Orlando Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558981712 PECOS PAC ID: 4789008335 Enrollment ID: O20200716000495 |
| Entity Name | Fdhs Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619571361 PECOS PAC ID: 2365854718 Enrollment ID: O20201209001867 |
| Entity Name | Overwatch Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616810 PECOS PAC ID: 3678949146 Enrollment ID: O20230404001489 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert De La Torre, MD Po Box 3123, St Augustine, FL 32085-3123 Ph: (904) 824-4990 | Robert De La Torre, MD 611 Zeagler Dr, Palatka, FL 32177-3810 Ph: (386) 326-7850 |
Dr. John Sanders Stoltz, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 321-777-8300 |