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

MR. DENNIS LEROY FORTNER III, P.A.

Active

MR. DENNIS LEROY FORTNER III, P.A. is a Medical Physician Assistant healthcare provider located in ORMOND BEACH, Florida. NPI 1891092771 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ORMOND BEACH, FL

Registration Details

NPI Number
1891092771
Provider Type
Individual
Gender
Male
NPI Issued
Feb 11, 2011 (15.320229512091 yrs)
Last Updated
Oct 16, 2016
Licenses
PA9105894 (FL)
PA9105894 (FL)

Practice Information

Address
298 S YONGE ST
ORMOND BEACH, FL, 321746264
Browse FL providers · Browse ZIP 32174
Phone
3864792151
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant

Other Medical Physician Assistant Providers in ORMOND BEACH, FL

Name Credential NPI
NEHA D PATEL PA-C 1003801598
RAFAT SHAFIK ISKANDER PA 1053332122
CYNTHIA A DEAN PA-C 1194862748
ERIKA LEIGH JACUMIN PA 1548443518
MRS. KIMBERLY MILLIGAN SHAPIRO PA 1073863163
VAN-ANH TRAN PA-C 1811367105
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.