Mark Fortney PA

NPI 1649434093 - Physician Assistant - 363A00000X

NPI Details
NPI 1649434093
Gender Male
Enumeration Date 07/15/2008
Last Updated 07/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4101 NW 3RD CT
SUITE 5
PLANTATION FL, 33317-2857, US
Phone (954) 321-7762
Fax (954) 321-9596
Business Location
4101 NW 3RD CT
SUITE 5
PLANTATION FL, 33317-2857, US
Phone (954) 321-7762
Fax (954) 321-9596
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PAT9104362
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According to our database, Mark Fortney PA NPI is 1649434093, taxonomy code is 363A00000X and license number is PAT9104362, license state is located at Florida. Mark Fortney PA physically located at 4101 Nw 3rd Ct, Plantation FL, 33317-2857. NPI Number Mark Fortney PA has the Individual type.

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1649434093 NPI number is provided on an as is basis without warranty of any kind. 1649434093 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Fortney PA are for informational purposes only.