Organization
FLORENDA L. FORTNER, M.D., LLC
Active
Other names
Internal Medicine & Clinical Anti-Aging Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENDA L. FORTNER M.D. (M.D.)
(727) 841-0700
Entity
Organization
Contact information
Practice address
5535 GRAND BLVD, SUITE C, NEW PORT RICHEY, FL 34652
(727) 841-0700
(727) 841-6969
Mailing address
5535 GRAND BLVD, SUITE C, NEW PORT RICHEY, FL 34652
(727) 841-0700
(727) 841-6969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME86987
FL
Other
Enumeration date
09/19/2007
Last updated
03/02/2023
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