Organization
LAWRENCEJFORTUNAMDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JOSEPH FORTUNA MD (DIRECTOR)
(954) 876-0945
Entity
Organization
Contact information
Practice address
718 E MCNAB RD, POMPANO BEACH, FL 33060-9430
(954) 876-0945
(954) 876-0965
Mailing address
718 E MCNAB RD, POMPANO BEACH, FL 33060-9430
(954) 876-0945
(954) 876-0965
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME46908
FL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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