Individual
ANNIE C FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HTS, OH 44130
(440) 816-8000
Mailing address
1688 BELFAIR DR, TWINSBURG, OH 44087-1162
(419) 370-1593
(330) 998-6986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-003879
OH
Other
Enumeration date
03/10/2014
Last updated
05/01/2014
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