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Tish Torok

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

10925 State Road 54, New Port Richey, FL 34655-2277

PECOS Enrollment

Based on the most recent information from CMS, provider Tish Torok is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:24 AM.

Profile Details

Provider ID
1831631449
Provider Type
Individual
Full Name
Torok, Tish
Title
Mrs.
Credential
MSN, FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/14/2016
Last Updated
1/14/2021

Contact Information

Practice Location

10925 State Road 54, New Port Richey, FL 34655-2277

(517) 290-7155

Unlisted Fax

Mailing Location

10925 State Road 54, New Port Richey, FL 34655-2277

(517) 290-7155

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11003417 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN208626 Georgia

Tish Torok

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Parker, Alexis

Castro, Lindsay

De Leon, Hilda

Gummoe, Shannon Christie

Mcdermott, Heather Allison

Medical Housecall Services Inc

Blake, Sirinat

Scudiero, Stephanie Adele

Vargas, Melanie

Horozovic, Esmeralda