Individual
ERIN FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
190 A1A N STE 1, PONTE VEDRA BEACH, FL 32082-1773
(904) 686-8020
Mailing address
3706 SE 21ST AVE, CAPE CORAL, FL 33904-5086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2017
Last updated
12/25/2018
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