Fortunato, Joseph Gary

Fortunato, Joseph Gary is an individual health care provider with primary practice located at 14027 5Th St , Dade City FL 33525-4302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Fortunato, Joseph Gary can be contacted via phone (352) 518-2000.

Contact Information

Primary practice address
14027 5Th St Dade City FL 33525-4302
Fax: (352) 567-5193
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 18129 Colorado

Profile Details

NPI number 1851459309
LBN Legal business name Fortunato, Joseph Gary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Mar 21st, 2012 - about 12 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 1851459309 NPPES
Florida MEDICAID 003355300

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