Individual
DR. JOHN ALLEN FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7999
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
ME0048151
FL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME48151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052930300
—
FL
Enumeration date
12/13/2006
Last updated
09/20/2012
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