Fortner, David

Fortner, David is an individual health care provider with primary practice located at 137 Hospital Dr , Fort Walton Beach FL 32548. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fortner, David can be contacted via phone (850) 833-7413.

Contact Information

Primary practice address
137 Hospital Dr Fort Walton Beach FL 32548
Phone: (850) 833-7413
Fax: (850) 833-7434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 7790 Florida

Profile Details

NPI number 1861466617
LBN Legal business name Fortner, David
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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