SearchFlorida106S00000X

Dominick Detorre, RBT

NPI 1336915321 · on the registry since 2023

Practice

Address
4100 N Wickham Rd Unit 107a-260
Melbourne, FL 32935
Phone
(855) 832-6727
Fax
(772) 675-9100
Organisation at this address
National Vision Inc
Publix Super Markets Inc
Total Reset Melbourne, Llc
Angels Arms Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
106S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida