Fortunato, Michael Anthony

Fortunato, Michael Anthony is an individual health care provider with primary practice located at 2032 Us 1 , Vero Beach FL 32960-5420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fortunato, Michael Anthony can be contacted via phone (772) 213-9614.

Contact Information

Primary practice address
2032 Us 1 Vero Beach FL 32960-5420
Phone: (772) 213-9614
Fax: (772) 213-9615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14743 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME143867 Florida

Profile Details

NPI number 1841291226
LBN Legal business name Fortunato, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 20th, 2023 - about 3 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 1841291226 NPPES
Other 550357057070 ANTHEM BCBS

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