Organization
FORT FREEDOM, INC.
Active
Organization
FORT FREEDOM, INC.
Active
Other names
Jonathan Gervasi
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN GERVASI (MARKETING DIRECTOR)
(626) 390-4080
Entity
Organization
Contact information
Practice address
400 CHESTERFIELD PKWY, MALVERN, PA 19355-7700
(561) 208-1853
Mailing address
PO BOX 636, PORT SALERNO, FL 34992-0636
(626) 390-4080
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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