Organization
ESTEVEZ&FORK MDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMILLA ANN FORK M.D. (PHYSICIAN)
(561) 483-1888
Entity
Organization
Contact information
Practice address
9291 GLADES RD, SUITE 203, BOCA RATON, FL 33434-3959
(561) 483-1888
(561) 483-0740
Mailing address
9291 GLADES RD, SUITE 203, BOCA RATON, FL 33434-3959
(561) 483-1888
(561) 483-0740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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