Individual
BLAKE HUGO FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6333 N FEDERAL HWY STE 300, FORT LAUDERDALE, FL 33308-1909
(954) 776-6880
Mailing address
6333 N FEDERAL HWY STE 300, FORT LAUDERDALE, FL 33308-1909
(954) 776-6880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30022
MN
207W00000X
Ophthalmology Physician
67739
MN
207WX0107X
Retina Specialist (Ophthalmology) Physician
A185112
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME172651
FL
Other
Enumeration date
03/23/2019
Last updated
08/01/2025
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