Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRADY AUSBUR FORTNER, M.D.
Active Sole ProprietorDR. GRADY AUSBUR FORTNER, M.D. is a Emergency Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1043636202 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1043636202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2014 (12.412118075157 yrs)
- Last Updated
- Dec 17, 2019
- Licenses
-
0116027243 (VA)M-2191 (GU)
- Sole Proprietor
- Yes
Practice Information
- Address
-
554 KEILY STREETJACKSONVILLE, FL, 32212Browse FL providers · Browse ZIP 32212
- Phone
- 7579537550
- Fax
- 7579537560
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. EMILY FONTANE | MD | 1972504355 |
| DR. ALEXANDER SCOTT BERK | M.D. | 1699777151 |
| MR. CARLOS BARBERIS | MD | 1598750564 |
| BRADLEY BRAGG | MD | 1093701443 |
| FRANK H GILBERSTADT | MD | 1780670083 |
| WILLIAM G DIETRICH | MD | 1952397036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.