DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK M FORTNEY, PA

Active Sole Proprietor

Physician Assistant · COCONUT CREEK, FL

Registration Details

NPI Number
1649434093
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2008 (17.786817537296 yrs)
Last Updated
Mar 17, 2018
License
PAT9104362 (FL)
Sole Proprietor
Yes

Practice Information

Address
6370 N STATE ROAD 7 STE 100
COCONUT CREEK, FL, 330733606
Browse FL providers · Browse ZIP 33073
Phone
9543217762
Fax
9543219596
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in COCONUT CREEK, FL

Name Credential NPI
VICTORIA PEREZ 1013905744
LEONEL GRAS PA 1841288446
CHRISTINE I ZULLO PA-C 1750548343
MS. VALENTINA SHTEFAN PA 1811275902
JEAN-MAX ALCE PA 1205254984
NAICKA D MATHIAS PA-C 1174925879
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.