GUSTAVO FORTEZA MD PA

HIALEAH GARDENS, FL
NPI1205190691
Entity TypeOrganization
Authorized ContactGUSTAVO FORTEZA
CEO
305-992-7321
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: FL  ME85628)
Enumeration Date2012-06-29
Last Update Date2022-04-29
Business Address
GUSTAVO FORTEZA MD PA
10550 NW 77TH CT STE 308
HIALEAH GARDENS, FL 33016-2072
Phone number: 305-863-2233
Mailing Address
GUSTAVO FORTEZA MD PA
10521 SW 143RD AVE
MIAMI, FL 33186-3035
Phone number: 305-889-4978