Individual provider Active NPI

Jean Carlos Torres Davila, APRN

  • Family Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1184252447
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006811 Issued in FL
Practice address
296 Arbor Lakes Dr
Davenport, FL 33896-8167
Phone
(407) 973-0121
NPI assigned
Mar 31, 2020
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006811 FL Primary

Addresses

Primary practice location

296 Arbor Lakes Dr
Davenport, FL 33896-8167

Mailing address

296 Arbor Lakes Dr
Davenport, FL 33896-8167
Phone (407) 973-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124001762 FL Practitioner - Nurse Practitioner 6507277548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11006811FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Health Inc CurrentSince Oct 6, 2025 Accepting new patients

Locations

2901 Curry Ford Rd
Ste 106
Orlando, FL 32806
Phone (407) 203-5984

3879 E Colonial Dr
Orlando, FL 32803
Phone (407) 203-5984

3901 E Colonial Dr
Orlando, FL 32803
Phone (407) 203-5984

Interoperability endpoints

  • Direct secure messaging: jean.carlos.torres.davila.1@13598.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1184252447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 ARBOR LAKES DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338968167",
            "telephone_number": "407-973-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 ARBOR LAKES DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338968167",
            "telephone_number": "407-973-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES DAVILA",
        "first_name": "JEAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.