Fortner, Dennis Leroy

Fortner, Dennis Leroy is an individual health care provider with primary practice located at 298 S Yonge St , Ormond Beach FL 32174-6264. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Fortner, Dennis Leroy can be contacted via phone (386) 479-2151.

Contact Information

Primary practice address
298 S Yonge St Ormond Beach FL 32174-6264
Phone: (386) 479-2151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9105894 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105894 Florida

Profile Details

NPI number 1891092771
LBN Legal business name Fortner, Dennis Leroy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2011
Last updated Oct 16th, 2016 - about 8 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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