Individual
CARLA FORTIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 WESTON RD, WESTON, FL 33331-3602
(713) 792-1151
Mailing address
3100 WESTON RD, WESTON, FL 33331-3602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155003
FL
208M00000X
Hospitalist Physician
263147
MA
208M00000X
Hospitalist Physician
S4139
TX
Other
Enumeration date
06/04/2012
Last updated
10/31/2024
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