Healthcare Provider Details

I. General information

NPI: 1891546099
Provider Name (Legal Business Name): MARTIKA CORTES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5613 PIERCE ST
HOLLYWOOD FL
33021-6242
US

IV. Provider business mailing address

5613 PIERCE ST
HOLLYWOOD FL
33021-6242
US

V. Phone/Fax

Practice location:
  • Phone: 786-495-3499
  • Fax: 844-765-4756
Mailing address:
  • Phone: 786-495-3499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: