Mr. Dennis L. Fortner P.A.
Medical Physician Assistant in Ormond Beach, FL(View on Map)
Full Name
Mr. Dennis Leroy Fortner P.A.
NPI Number
1891092771
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/11/2011
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9105894
Contact
Information
Purpose
Mailing
Location
Address
298 S YONGE ST
298 S YONGE ST
City
Ormond Beach
Ormond Beach
State
FL
FL
Postal Code
32174-6264
32174-6264
Country
US
US
Telephone Number
(386) 479-2151
(386) 479-2151
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/16/2016
Provider Address
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