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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