Individual
DR. MANUEL CORREA FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
265 E ROLLINS ST STE 12000, ORLANDO, FL 32804-5571
(407) 975-0200
Mailing address
265 E ROLLINS ST STE 12000, ORLANDO, FL 32804-5571
(407) 975-0200
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME142665
FL
2085R0204X
Vascular & Interventional Radiology Physician
0101265756
VA
2085R0204X
Vascular & Interventional Radiology Physician
D0074808
MD
2085R0204X
Vascular & Interventional Radiology Physician
DR.0067125
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME142665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962639757
—
VA
Enumeration date
06/18/2009
Last updated
02/04/2025
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