Individual
MR. ANDY FORTUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LMT
Contact information
Practice address
175 FONTAINEBLEAU BLVD STE 2J1A, MIAMI, FL 33172-7017
(786) 310-1097
Mailing address
8075 NW 8TH ST APT 4, MIAMI, FL 33126-2813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
Other
Enumeration date
05/24/2018
Last updated
05/20/2021
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