Individual
DR. SARAH O'DANIEL FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 778-3499
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 778-3499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00024744
AL
207Q00000X
Family Medicine Physician
Primary
44413
KY
Other
Enumeration date
03/08/2006
Last updated
07/19/2011
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