Active NPI
Gilza Maria Fort, LMFT
- Marriage & Family Therapist
- Miami, FL
National Provider Identifier
1750436614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT1500
- Practice address
- 7765 SW 87TH Ave
Suite 104
Miami, FL 33173-2596 - Phone
- (305) 412-8440
- Fax
- (305) 412-8447
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT1500 | FL | Primary |
Addresses
Primary practice location
7765 SW 87TH Ave
Suite 104
Miami, FL 33173-2596
Mailing address
7765 SW 87TH Ave
Suite 104
Miami, FL 33173-2596
Phone (305) 412-8440
Other names 1
- Gilza Maria Fort Martinez
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 |
|---|---|---|---|
| MT1500 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750436614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7765 SW 87TH AVE",
"address_2": "SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732596",
"telephone_number": "305-412-8440",
"fax_number": "305-412-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7765 SW 87TH AVE",
"address_2": "SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732596",
"telephone_number": "305-412-8440",
"fax_number": "305-412-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORT",
"first_name": "GILZA",
"middle_name": "MARIA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GILZA",
"last_name": "FORT MARTINEZ",
"middle_name": "MARIA",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.