Individual
DR. JESUSA MILALAINE TERRADO FORTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 JOE DIMAGGIO DR, PEDIATRIC EMERGENCY DEPARTMENT, HOLLYWOOD, FL 33021-5426
(954) 987-2000
Mailing address
12300 NW 10TH ST, PLANTATION, FL 33323-2504
(502) 889-8200
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
ME91339
FL
208000000X
Pediatrics Physician
38856
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
38856
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6409176200
—
FL
05
—
6409176200
—
KY
Enumeration date
11/30/2005
Last updated
04/11/2025
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