Amy Fort, | |
3840 5th Ave N, St Petersburg, FL 33713-7521 | |
(727) 367-2273 | |
Not Available |
Full Name | Amy Fort |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 3840 5th Ave N, St Petersburg, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891160768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW7236 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Doctor On Demand Professionals P C | 9436464567 | 119 |
Entity Name | Doctor On Demand Professionals P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20150818004696 |
Mailing Address | Practice Location Address |
---|---|
Amy Fort, 3840 5th Ave N, St Petersburg, FL 33713-7521 Ph: (727) 367-2273 | Amy Fort, 3840 5th Ave N, St Petersburg, FL 33713-7521 Ph: (727) 367-2273 |
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