Fornet, Lester

Fornet, Lester is an individual health care provider with primary practice located at 14027 5Th St , Dade City FL 33525-4302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fornet, Lester can be contacted via phone (352) 518-2000.

Contact Information

Primary practice address
14027 5Th St Dade City FL 33525-4302
Phone: (352) 518-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11022908 Florida

Profile Details

NPI number 1972211753
LBN Legal business name Fornet, Lester
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2022
Last updated Jun 12th, 2024 - about last year

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 1972211753 NPPES
Florida MEDICAID 116308600

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