Search › Florida › 207P00000X
Grady Fortner, M.D
NPI 1043636202 · on the registry since 2014 · sole proprietor
Practice
- Address
- 554 Keily Street
Jacksonville, FL 32212 - Phone
- (757) 953-7550
- Fax
- (757) 953-7560
- Clinicians at this address
- 41
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- VA, GU
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-17
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