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 / 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 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 Jan 23rd, 2026 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912939422 NPPES
Florida MEDICAID 277932300

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