Individual
DANIEL FORTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, APRN
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
10315 SW 130TH CT, MIAMI, FL 33186-2361
(786) 395-3231
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11011099
FL
Other
Enumeration date
11/05/2020
Last updated
01/19/2021
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