Fort, Johnnethel M

Fort, Johnnethel M is an sole proprietor health care provider with primary practice located at 8495 Normandy Blvd , Jacksonville FL 32221-6701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as her primary health care specialty. Fort, Johnnethel M can be contacted via phone (904) 783-3749.

Contact Information

Primary practice address
8495 Normandy Blvd Jacksonville FL 32221-6701
Phone: (904) 783-3749
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X OT10738 Florida

Profile Details

NPI number 1184066771
LBN Legal business name Fort, Johnnethel M
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2013
Last updated Jul 23rd, 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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