Individual
FLORENDA L FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME86987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270609100
—
FL
Enumeration date
09/22/2005
Last updated
07/13/2015
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