MEDICARE: MRS. AMY J FORT ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9216870	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DC8324	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326096264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY J FORT ARNP

Provider Business Mailing Address
First Line	:	1426 LONGOAK DR S
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33811-2115
Country	:	US
Telephone Number	:	863-640-7013
Fax Number	:

Provider Business Practice Location Address
First Line	:	1426 LONGOAK DR S
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33811-2115
Country	:	US
Telephone Number	:	863-640-7013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/12/2024

Similar Medicare Providers

1427049931 — RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Practice Location Address:

2115 CRYSTAL GROVE DR
LAKELAND, FL
33801-6875

Practice Phone: 863-688-2334
Practice Fax: 863-577-0301

1447439575 — LAWRENCE R WHITNEY III M.D.
Practice Location Address:

2115 CRYSTAL GROVE DR
LAKELAND, FL
33801-6875

Practice Phone: 863-688-2334
Practice Fax:

1023248648 — MICHAEL K GORDON MD
Practice Location Address:

2115 CRYSTAL GROVE DR
LAKELAND, FL
33801-6875

Practice Phone: 863-688-2334
Practice Fax: 863-577-0303

1396012696 — MR. SEVERO BATION SIASOYCO II P.T.
Practice Location Address:

2115 MORGAN WIELAND LN , APT 202
LAKELAND, FL
33813-3181

Practice Phone: 863-617-3332
Practice Fax:

1093109969 — ANDRES FELIPE RAMOS M.D.
Practice Location Address:

2115 CRYSTAL GROVE DR
LAKELAND, FL
33801-6875

Practice Phone: 863-688-2334
Practice Fax:

1447785274 — AMY BLACK MASSAGE THERAPIST
Practice Location Address:

2115 MORGAN WIELAND LN , APT 106
LAKELAND, FL
33813-3181

Practice Phone: 407-490-8581
Practice Fax:

Directions to “ MRS. AMY J FORT ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.