| 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 | 
| Location | 611 Zeagler Dr, Palatka, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | 
| 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 |