Healthcare Provider Details

I. General information

NPI: 1922986181
Provider Name (Legal Business Name): SAMANTHA FORTE CF-SLP
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12545 ORANGE DR
DAVIE FL
33330-4306
US

IV. Provider business mailing address

2033 NW 208TH TER
PEMBROKE PINES FL
33029-2319
US

V. Phone/Fax

Practice location:
  • Phone: 954-474-8048
  • Fax: 954-474-8145
Mailing address:
  • Phone: 954-381-6270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7330
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: