Maria L Fortington in Palm Bay - Physician Assistant

Maria L Fortington - NPI 1265428288

Maria L Fortington is a Physician Assistant in Palm Bay, Florida. Maria L Fortington practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maria L Fortington is 1265428288. The last update date is 2008-05-14.

Maria L Fortington's current location address is 5070 Minton Rd Nw, Palm Bay, Florida. You can contact this provider via phone number 3217681600 and fax number 3217994903. The mailing address for Maria L Fortington is 5070 Minton Rd Nw, Palm Bay, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Maria L Fortington
Address 5070 Minton Rd Nw, Palm Bay, Florida
Phone Number 3217681600
Fax Number 3217994903
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1265428288
Provider Enumeration Date 2005-09-26
Last Updated Date 2008-05-14

Provider Mailing Address Detail

Address 5070 Minton Rd Nw
City Palm Bay
State Florida (FL)
Post Code 329071157
Phone Number 3217681600
Fax Number 3217994903

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9101192
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Maria L Fortington

What is the Maria L Fortington's 1265428288?

The Maria L Fortington's NPI (National Provider Identifier) Number is 1265428288. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Maria L Fortington's facilities are situated?

The facilities of Maria L Fortington are physically located at the following address: 5070 Minton Rd Nw, Palm Bay, FL, 329071157.

What is Maria L Fortington's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Maria L Fortington is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Maria L Fortington receive the assignment of its 1265428288 from the Centers for Medicare & Medicaid Services?

The Maria L Fortington was issued its 1265428288 by the Centers for Medicare & Medicaid Services on 2005-09-26.

When was the information regarding Maria L Fortington, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Maria L Fortington, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-14.

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