Fortner, Florenda L
Fortner, Florenda L is an sole proprietor health care provider with primary practice located at 5535 Grand Blvd Suite C, New Port Richey FL 34652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Fortner, Florenda L can be contacted via phone (727) 841-0700.Contact Information
Primary practice address
5535 Grand Blvd Suite C
New Port Richey FL 34652
Phone: (727) 841-0700
Fax: (727) 841-6969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME86987 | Florida |
Profile Details
| NPI number | 1891781126 |
|---|---|
| LBN Legal business name | Fortner, Florenda L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 13th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891781126 | NPPES |
| Florida | MEDICAID | 270609100 |
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