Provider Demographics
NPI:1972211753
Name:FORNET, LESTER (APRN)
Entity type:Individual
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First Name:LESTER
Middle Name:
Last Name:FORNET
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Credentials:APRN
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Mailing Address - Street 1:5101 SW 8TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2442
Mailing Address - Country:US
Mailing Address - Phone:305-359-5037
Mailing Address - Fax:786-509-5544
Practice Address - Street 1:9195 SW 72ND STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:786-591-1313
Practice Address - Fax:305-774-5645
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2025-02-19
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL116308600Medicaid