SUSAN LYNETTE FORT


Address: 2528 Nw 32nd St, Gainesville, FL 32605-2743
Phone: 3522248161

SUSAN LYNETTE FORT (NPI# 1003117532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003117532
Entity Type Individual
Full Name SUSAN LYNETTE FORT
Credential ARNP
Practice Address 2528 Nw 32nd St
Gainesville
FL 32605-2743
Practice Telephone 3522248161
Practice Fax Number 3213208780
Mailing Telephone 3522248161
Mailing Fax Number 3213218780
Enumeration Date 2010-11-15
Last Update Date 2018-10-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP 3295302 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4000 Sw 20th Ave, Gainesville, FL 326074417 3522248161

Office Location

Street Address 2528 NW 32ND ST
City GAINESVILLE
State FL
Zip Code 32605-2743

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NPI Name Taxonomy Address Enumeration
1801351184 Slf Medical Services, LLC Internal Medicine 2528 Nw 32nd St, Gainesville, FL 32605-2743 2019-01-31

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1003308040 Titan Mri LLC Clinic/Center 919 Nw 57th St Ste 20, Gainesville, FL 32605 2018-06-05
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1396235800 Aya Marachi Student in an Organized Health Care Education/Training Program 6500 W. Newberry Rd., Gainesville, FL 32605 2018-05-10
1053813543 Jaime L Jasser Counselor 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 2018-03-01
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154865814 Kimberly Farr Nurse Practitioner 2601 Kensington Aly, Gainesville, GA 30504-2689 2016-12-14
1396293056 Lelah Ruth Marzi Nurse Practitioner 10229 Nw 13th Ave, Gainesville, FL 32606-8056 2016-09-12
1942697560 Darelys Andino Ruiz Nurse Practitioner 5510 Sw 41st Blvd Ste 202, Gainesville, FL 32608-4975 2015-04-21
1306243845 Robin Denise Clayton Nurse Practitioner 2822 Ne 16th Ter, Gainesville, FL 32609-3235 2014-11-27
1154736544 Hannah S Day Nurse Practitioner 1376 Burns Dr Ne, Gainesville, GA 30501-1904 2014-06-25
1902141260 Michell Mulberry Nurse Practitioner 2318 Nw 90th Ter, Gainesville, FL 32606 2012-11-27
1760734057 Danielle Foti Digennaro Nurse Practitioner Internal Medicine/palliative Care 100283, Gainesville, FL 32610-2299 2012-10-10
1154673606 Carolyn A Rollins Nurse Practitioner 1600 Sw Archer Rd # 100129, Gainesville, FL 32610-4524 2012-10-09
1477803989 Michelle Senerpida Barnas Nurse Practitioner 5236 Sw 34th Street, Gainesville, FL 32608 2012-09-12
1356645352 Shannon Large Nurse Practitioner 4001 Sw 13th Street, Florida Recovery Center, Gainesville, FL 32608 2011-01-05
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Competitor

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City GAINESVILLE
Zip Code 32605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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