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Mrs. Amy J Fort, ARNP
Family Nurse Practitioner in Lakeland, Florida
NPI 1326096264

Amy J Fort is a Family Nurse Practitioner based in Lakeland, FL and is specialized in Family. Amy J Fort practices in Lakeland, FL and has the professional credentials of ARNP. The NPI Number for Amy J Fort is 1326096264 and holds a License No. ARNP9216870 (Florida).

The current practice location address for Amy J Fort is 1426 Longoak Dr S, Lakeland, FL and can be reached out via phone at 863-640-7013.

Location: 1426 Longoak Dr S, Lakeland, FL, 33811-2115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326096264
Provider Name
Amy J Fort
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1426 Longoak Dr S, Lakeland, FL, 33811-2115
Phone Number
863-640-7013
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3074820-00 05 FL
DC8324 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1426 Longoak Dr S
City
Lakeland
State
Florida
Zip
33811-2115
Phone Number
863-640-7013
Fax Number
person
Provider Business Mailing Address Details
Address
1426 Longoak Dr S
City
Lakeland
State
Florida
Zip
33811-2115
Phone Number
863-640-7013
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP9216870 (Florida)
Definition
Definition to come...
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