Fortner, Florenda L

Fortner, Florenda L is an sole proprietor health care provider with primary practice located at 5535 Grand Blvd Suite C, New Port Richey FL 34652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Fortner, Florenda L can be contacted via phone (727) 841-0700.

Contact Information

Primary practice address
5535 Grand Blvd Suite C New Port Richey FL 34652
Phone: (727) 841-0700
Fax: (727) 841-6969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME86987 Florida

Profile Details

NPI number 1891781126
LBN Legal business name Fortner, Florenda L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Jul 13th, 2015 - about 9 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 1891781126 NPPES
Florida MEDICAID 270609100

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