Fort, Jaqualine

Fort, Jaqualine is an individual health care provider with primary practice located at 1000 Savage Ct Ste 101 , Longwood FL 32750-4988. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fort, Jaqualine can be contacted via phone (407) 271-4911.

Contact Information

Primary practice address
1000 Savage Ct Ste 101 Longwood FL 32750-4988
Phone: (407) 271-4911
Fax: (407) 264-8344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ5745 Florida

Profile Details

NPI number 1043584295
LBN Legal business name Fort, Jaqualine
Credentials SLP-CFY
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2012
Last updated Mar 6th, 2012 - about 14 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.

Request for update

Popular Providers