Amy J Fort is a Family in Lakeland, Florida. Amy J Fort practices all healthcare services and medical treatments related to Family. The NPI Number for Amy J Fort is 1326096264. The last update date is 2022-06-01.
Amy J Fort's current location address is 1426 Longoak Dr S, Lakeland, Florida. You can contact this provider via phone number 8636407013. The mailing address for Amy J Fort is 1426 Longoak Dr S, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy J Fort |
|---|---|
| Address | 1426 Longoak Dr S, Lakeland, Florida |
| Phone Number | 8636407013 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1326096264 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2022-06-01 |
Provider Mailing Address Detail
| Address | 1426 Longoak Dr S |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338112115 |
| Phone Number | 8636407013 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ARNP9216870 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3074820-00 | FL | -- | |
| DC8324 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Amy J Fort's 1326096264?
The Amy J Fort's NPI (National Provider Identifier) Number is 1326096264. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amy J Fort is physically located?
The Amy J Fort is situated at the following address: 1426 Longoak Dr S, Lakeland, FL 338112115.
What is the area of specialization for Amy J Fort, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Amy J Fort is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1326096264 to Amy J Fort?
The Centers for Medicare & Medicaid Services assigned the 1326096264 to Amy J Fort on 2006-05-04.
When was the information related to Amy J Fort most recently updated or refreshed?
The details pertaining to the Amy J Fort, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-06-01.