Fork, Tamilla Ann
Fork, Tamilla Ann is an individual health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Fork, Tamilla Ann can be contacted via phone (954) 659-5000.Contact Information
Primary practice address
2950 Cleveland Clinic Blvd
Weston FL 33331-3609
Phone: (954) 659-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0065419 | Florida |
Profile Details
| NPI number | 1912939422 |
|---|---|
| LBN Legal business name | Fork, Tamilla Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Oct 26th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912939422 | NPPES |
| Florida | MEDICAID | 277932300 |
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