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Dr. Joseph Gary Fortunato, DO
Adult Medicine Physician in Dade City, Florida
NPI 1851459309

Joseph Gary Fortunato is an Adult Medicine Physician based in Dade City, FL and is specialized in Adult Medicine. Joseph Gary Fortunato practices in Dade City, FL and has the professional credentials of DO. The NPI Number for Joseph Gary Fortunato is 1851459309 and holds a License No. 18129 (Florida).

The current practice location address for Joseph Gary Fortunato is 14027 5Th St, Dade City, FL and can be reached out via phone at 352-518-2000 and via fax at 352-567-5193.

Location: 14027 5Th St, Dade City, FL, 33526-0232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851459309
Provider Name
Joseph Gary Fortunato
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
14027 5Th St, Dade City, FL, 33526-0232
Phone Number
352-518-2000
Fax Number
352-567-5193
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003355300 05 FL
institution
Provider Business Practice Location Address Details
Address
14027 5Th St
City
Dade City
State
Florida
Zip
33525-4302
Phone Number
352-518-2000
Fax Number
352-567-5193
person
Provider Business Mailing Address Details
Address
14027 5Th St
City
Dade City
State
Florida
Zip
33525-4302
Phone Number
352-518-2000
Fax Number
352-567-5193
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
18129 (Colorado)
Definition
Definition to come.
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