Individual provider · Type 1 NPI

Dennis Leroy Fortner Iii, P.A.

Medical Physician Assistant · Ormond Beach, FL

NPI number 1891092771 Active

Practice location

298 S Yonge St
Ormond Beach, FL 32174-6264

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9105894 (FL)
Physician Assistant 363A00000XPA9105894 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1891092771

Dennis Leroy Fortner Iii, P.A.'s National Provider Identifier is 1891092771, issued on Feb 11, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ormond Beach, FL. The record was last updated on Oct 16, 2016.