Healthcare Provider Details

I. General information

NPI: 1346162617
Provider Name (Legal Business Name): ANTONELLE FORTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 MIRAMAR PKWY STE H
MIRAMAR FL
33023-3999
US

IV. Provider business mailing address

6320 MIRAMAR PKWY STE H
MIRAMAR FL
33023-3999
US

V. Phone/Fax

Practice location:
  • Phone: 484-302-9588
  • Fax:
Mailing address:
  • Phone: 484-302-9588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: