Organization
CANDICE D FORTUNATO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE D FORTUNATO MD (MANAGING MEMBER)
(702) 450-1717
Entity
Organization
Contact information
Practice address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 450-1717
(702) 941-6740
Mailing address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 450-1717
(702) 941-6740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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