Individual
SUSAN LYNETTE FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2528 NW 32ND ST, GAINESVILLE, FL 32605-2743
(352) 224-8161
(321) 320-8780
Mailing address
2528 NW 32ND ST, GAINESVILLE, FL 32605-2743
(352) 224-8161
(321) 321-8780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 3295302
FL
Other
Enumeration date
11/15/2010
Last updated
10/30/2018
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