Healthcare Provider Details

I. General information

NPI: 1518878271
Provider Name (Legal Business Name): FORTIS WELLNESS AND PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 ALOMA AVE STE 142
WINTER PARK FL
32792-2541
US

IV. Provider business mailing address

2431 ALOMA AVE STE 124
WINTER PARK FL
32792-2541
US

V. Phone/Fax

Practice location:
  • Phone: 407-619-3706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALLYSON FORTIS
Title or Position: OWNER
Credential: APRN
Phone: 407-619-3706