Fortino, Matthew G
Fortino, Matthew G is an sole proprietor health care provider with primary practice located at 8960 Colonial Center Dr Ste 300 , Fort Myers FL 33905-7810. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Fortino, Matthew G can be contacted via phone (239) 343-3831.Contact Information
Primary practice address
8960 Colonial Center Dr Ste 300
Fort Myers FL 33905-7810
Phone: (239) 343-3831
Fax: (239) 343-9498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY12541 | Florida |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY12541 | Florida |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1396296968 |
|---|---|
| LBN Legal business name | Fortino, Matthew G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2016 |
| Last updated | Feb 28th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396296968 | NPPES |
| New York | Other | 931026892 | UNITED HEALTHCARE |
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