Organization Active NPI

Dellatorre Health & Wellness LLC

  • Family Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1174495295
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DELLATORRE HEALTH & WELLNESS LLC
Practice address
1260 Rockledge Blvd Ste 202
Rockledge, FL 32955-2728
Phone
(321) 305-6968
Fax
(321) 335-1763
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dora Dellatorre, NPNPI 1588292205
Title
Owner
Phone
(321) 305-6968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1260 Rockledge Blvd Ste 202
Rockledge, FL 32955-2728

Mailing address

1260 Rockledge Blvd Ste 202
Rockledge, FL 32955-2728
Phone (321) 305-6968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250927000700 FL Part B Supplier - Clinic/Group Practice 2163927203 Receives reassigned benefits from 1 practitioner
Practice locations: Rockledge, FL

National Provider Directory

National Provider Directory

Locations

1260 Rockledge Blvd
Ste 202
Rockledge, FL 32955
Phone (321) 305-6968

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1174495295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 ROCKLEDGE BLVD STE 202",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552728",
            "telephone_number": "321-305-6968",
            "fax_number": "321-335-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 ROCKLEDGE BLVD STE 202",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552728",
            "telephone_number": "321-305-6968",
            "fax_number": "321-335-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLATORRE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "DELLATORRE",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-305-6968",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.