Organization
PETER L. FORT, MD PA
Active
Organization
PETER L. FORT, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER L. FORT M.D. (OWNER)
(941) 794-3900
Entity
Organization
Contact information
Practice address
5955 17TH AVE W, BRADENTON, FL 34209-7836
(941) 794-3900
(941) 794-8810
Mailing address
5955 17TH AVE W, BRADENTON, FL 34209-7836
(941) 794-3900
(941) 794-8810
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
04/20/2008
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