Individual
CAROLINA FORTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 SW 165TH CT, MIAMI, FL 33185-5265
(786) 326-3524
Mailing address
5417 SW 165TH CT, MIAMI, FL 33185-5265
(786) 326-3524
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
F632100699070
FL
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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