Fortus, Gilbert Raymundo

Fortus, Gilbert Raymundo is an individual health care provider with primary practice located at 1223 Gateway Dr , Melbourne FL 32901-2607. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fortus, Gilbert Raymundo can be contacted via phone (321) 725-4500.

Contact Information

Primary practice address
1223 Gateway Dr Melbourne FL 32901-2607
Phone: (321) 725-4500
Fax: (321) 409-1792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME65005 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME65005 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME65005 Florida

Profile Details

NPI number 1356311385
LBN Legal business name Fortus, Gilbert Raymundo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356311385 NPPES
Florida MEDICAID 379397400

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