Jaqualine Fort, SLP-CFY

NPI 1043584295 · on the registry since 2012

Practice

Address: 1000 Savage Ct Ste 101
Longwood, FL 32750
Phone: (407) 271-4911
Fax: (407) 264-8344
Organisation at this address: Renova By Design Llc
My Med Supply Store, Inc
Aurumhealth Mobile Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida