Individual
BEVERLY COCO FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
1450 MADRUGA AVE, SUITE 204, CORAL GABLES, FL 33146-3148
(305) 667-3910
(305) 667-3915
Mailing address
6 NE 50TH ST, MIAMI, FL 33137-2713
(786) 660-3389
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2985
FL
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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