Healthcare Provider Details

I. General information

NPI: 1497555098
Provider Name (Legal Business Name): ADIANEZ FORTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3683 S MIAMI AVE APT 325
MIAMI FL
33133-4222
US

IV. Provider business mailing address

3683 S MIAMI AVE # 325
MIAMI FL
33133-4222
US

V. Phone/Fax

Practice location:
  • Phone: 305-393-8107
  • Fax: 305-393-8157
Mailing address:
  • Phone: 305-393-8107
  • Fax: 305-393-8157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11038072
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: