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Individual
SUSANA FORTES
Active
Individual
SUSANA FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9256913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001394800
—
FL
01
—
P00761345
RAILROAD MEDICARE
FL
Enumeration date
06/25/2009
Last updated
12/30/2009
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