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Individual

CARLOS FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA, CKTP

Contact information

Practice address
9929 PINES BLVD, PEMBROKE PINES, FL 33024-6175
(954) 437-8099
Mailing address
700 W 50TH PL, HIALEAH, FL 33012-3617
(305) 450-3029

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA 26804
FL

Other

Enumeration date
08/06/2016
Last updated
08/06/2016
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