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NPI Code Detail

MEDICARE: DR. DANIEL E FORTIER M.D.

MEDICARE: DR. DANIEL E FORTIER M.D.
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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianME71381FL
2207R00000XInternal Medicine PhysicianME71381FL

Other Identifiers

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

General Provider Information

NPI Number : 1932173390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL E FORTIER M.D.
Provider Business Mailing Address
First Line : 1552 PALM BEACH LAKES BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2302
Country : US
Telephone Number : 561-659-7411
Fax Number : 561-659-7423
Provider Business Practice Location Address
First Line : 1552 PALM BEACH LAKES BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2302
Country : US
Telephone Number : 561-659-7411
Fax Number : 561-659-7423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 09/10/2013

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