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1003360157
CARLOS FORTE
PEMBROKE PINES, FL
NPI
1003360157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PTA 26804)
Enumeration Date
2016-08-06
Last Update Date
2016-08-06
Business Address
-- CARLOS FORTE PTA, CKTP
9929 PINES BLVD
PEMBROKE PINES, FL 33024-6175
Phone number: 954-437-8099
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Mailing Address
-- CARLOS FORTE PTA, CKTP
700 W 50TH PL
HIALEAH, FL 33012-3617
Phone number: 305-450-3029
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