Individual provider · Type 1 NPI

Grady Ausbur Fortner, MD

Emergency Medicine Physician · Jacksonville, FL

NPI number 1043636202 Active

Practice location

554 Keily Street
Jacksonville, FL 32212

Call (757) 953-7550 Map

Fax (757) 953-7560

Mailing address

PO Box 25578
Barrigada, GU 96921-5578

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X0116027243 (VA)
Emergency Medicine Physician Primary 207P00000XM-2191 (GU)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1043636202

Grady Ausbur Fortner, MD's National Provider Identifier is 1043636202, issued on Mar 12, 2014. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 17, 2019.