Individual
MICHAEL FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-2000
Mailing address
117 NE 2ND AVE, DANIA BEACH, FL 33004-4808
(954) 655-8753
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9269187
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9269187
FL
Other
Enumeration date
05/19/2017
Last updated
04/16/2018
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