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
Fax: (954) 321-9596
Website:

Health care specialties

SpecialtyCodeLicense #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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