Sean Jamison Fortson D.O.

NPI 1104028463 - Emergency Medicine - 207P00000X

NPI Details
NPI 1104028463
Gender Male
Enumeration Date 05/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
LANDSTUHL REGION MEDICAL CENTER
CMR 402 BOX 2299
APO AE, 09180, DE
Phone 00496361458945
Fax
Business Location
17910 SAINT CROIX ISLE DR
TAMPA FL, 33647-2704, US
Phone (813) 986-6670
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Florida
License Number OS 8702
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According to our database, Dr. Sean Jamison Fortson D.O. NPI is 1104028463, taxonomy code is 207P00000X and license number is OS 8702, license state is located at Florida. Sean Jamison Fortson D.O. physically located at Landstuhl Region Medical Center, Apo AE, 09180. NPI Number Sean Jamison Fortson D.O. has the Individual type.

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1104028463 NPI number is provided on an as is basis without warranty of any kind. 1104028463 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Jamison Fortson D.O. are for informational purposes only.