Active NPI
Beverly Coco Fortner, A.P.
- Acupuncturist
- Coral Gables, FL
National Provider Identifier
1245650530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2985
- Practice address
- 1450 Madruga Ave
Suite 204
Coral Gables, FL 33146-3148 - Phone
- (305) 667-3910
- Fax
- (305) 667-3915
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP2985 | FL | Primary |
Addresses
Primary practice location
1450 Madruga Ave
Suite 204
Coral Gables, FL 33146-3148
Mailing address
6 NE 50TH St
Miami, FL 33137-2713
Phone (786) 660-3389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2985 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1245650530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 NE 50TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331372713",
"telephone_number": "786-660-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 MADRUGA AVE",
"address_2": "SUITE 204",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331463148",
"telephone_number": "305-667-3910",
"fax_number": "305-667-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTNER",
"first_name": "BEVERLY",
"middle_name": "COCO",
"credential": "A.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.