Fornace, Donald Joseph

Fornace, Donald Joseph is an individual health care provider with primary practice located at 1400 Hand Ave Suite H, Ormond Beach FL 32174-8194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fornace, Donald Joseph can be contacted via phone (386) 441-6636.

Contact Information

Primary practice address
1400 Hand Ave Suite H Ormond Beach FL 32174-8194
Phone: (386) 441-6636
Fax: (386) 441-6680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS5475 Florida

Profile Details

NPI number 1669494480
LBN Legal business name Fornace, Donald Joseph
Credentials DO FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Nov 19th, 2013 - about 11 years 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 1669494480 NPPES
Florida MEDICAID 048431800

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