Maria L Fortington, PAC

NPI #1265428288 in Palm Bay, Florida

Provider Information

NPI Number
1265428288
Entity Type
Individual
Name
Maria L Fortington, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Sep 26, 2005
Last Updated
May 14, 2008

Practice Location

Address
5070 MINTON RD NW
Address 2
SUITE 5
State
Florida
ZIP Code
32907-1157
Phone
(321) 768-1600

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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