Fortney, Mark M
Fortney, Mark M is an sole proprietor health care provider with primary practice located at 6370 N State Road 7 Ste 100 , Coconut Creek FL 33073-3606. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fortney, Mark M can be contacted via phone (954) 321-7762.Contact Information
Primary practice address
6370 N State Road 7 Ste 100
Coconut Creek FL 33073-3606
Phone: (954) 321-7762
Fax: (954) 321-9596
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PAT9104362 | Florida |
Profile Details
NPI number | 1649434093 |
---|---|
LBN Legal business name | Fortney, Mark M |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 15th, 2008 |
Last updated | Mar 17th, 2018 - about 6 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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