Fort, Peter Anthony

Fort, Peter Anthony is an sole proprietor health care provider with primary practice located at 4540 Southside Blvd Ste 603 , Jacksonville FL 32216-5488. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fort, Peter Anthony can be contacted via phone (904) 996-8660.

Contact Information

Primary practice address
4540 Southside Blvd Ste 603 Jacksonville FL 32216-5488
Phone: (904) 996-8660
Fax: (904) 996-8650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH006468 Florida

Profile Details

NPI number 1942356720
LBN Legal business name Fort, Peter Anthony
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Apr 29th, 2026 - about 6 months 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 1942356720 NPPES
Florida MEDICAID 3816125 00

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