Organization
DR. DONALD J FORNACE DO FACC INC
Active
Organization
DR. DONALD J FORNACE DO FACC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J FORNACE DO (PHYSICIAN)
(386) 441-6636
Entity
Organization
Contact information
Practice address
1184 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-3760
(386) 441-6636
(386) 441-6680
Mailing address
1184 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-3763
(386) 441-6636
(386) 441-6680
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048431800
—
FL
Enumeration date
08/06/2012
Last updated
08/06/2012
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