Most Relevant Information
Provider Data
| NPI Number: | 1003360157 |
| Provider Name: | CARLOS FORTE PTA, CKTP |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | PTA 26804 |
Most Important Dates
| Enumeration Date: | 08/06/2016 |
| Last Updated: | 08/06/2016 |
Provider Practice Location
9929 PINES BLVD
PEMBROKE PINES
FL
330246175
Practice Location Phone/Fax
| Phone: | 9544378099 |
| Fax: |
Provider Mailing Location
700 W 50TH PL
HIALEAH
FL
330123617
Provider Mailing Phone/Fax
| Phone: | 3054503029 |
| Fax: |