Dr Peter Anthony Fort, DC | |
4540 Southside Blvd Ste 1101, Jacksonville, FL 32216-5495 | |
(904) 996-8660 | |
(904) 996-8650 |
Full Name | Dr Peter Anthony Fort |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 31 Years |
Location | 4540 Southside Blvd Ste 1101, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942356720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH006468 (Florida) | Primary |
Provider Name | Deerwood Lake Chiropractic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295918548 PECOS PAC ID: 4284643255 Enrollment ID: O20060419000591 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Anthony Fort, DC 4540 Southside Blvd Ste 1101, Jacksonville, FL 32216-5495 Ph: (904) 996-8660 | Dr Peter Anthony Fort, DC 4540 Southside Blvd Ste 1101, Jacksonville, FL 32216-5495 Ph: (904) 996-8660 |
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