MELANIE STOVALL FORTENBERRY

HOLLYWOOD, FL
NPI1487853990
Former NameMELANIE DRAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11018986)
Additional Taxonomies163W00000X Registered Nurse
(Licence: FL  RN9595541)
363LF0000X Nurse Practitioner, Family
(Licence: GA  RN164301)
Enumeration Date2007-07-13
Last Update Date2022-05-19
Business Address
Ms. MELANIE STOVALL FORTENBERRY FNP
200 S PARK RD STE 200
HOLLYWOOD, FL 33021-8541
Phone number: 866-986-2263
Mailing Address
Ms. MELANIE STOVALL FORTENBERRY FNP
PO BOX 653
NEW SMYRNA BEACH, FL 32170-0653
Phone number: 706-973-0796