Individual
DR. TAMILLA ANN FORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5000
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3625
(954) 659-5000
(954) 517-7500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0065419
FL
207VG0400X
Gynecology Physician
Primary
0065419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277932300
—
FL
Enumeration date
07/07/2006
Last updated
01/23/2026
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