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Individual

BETTY FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5801 MIAMI LAKES DR. EAST, MIAMI LAKES, FL 33014
(305) 821-9115
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME128278
FL
208000000X
Pediatrics Physician
ME128278
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020487500
FL
Enumeration date
04/05/2012
Last updated
10/28/2022
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