ELLEN R FORTIER

ST PETERSBURG, FL
NPI1699754002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA 0003227)
Enumeration Date2006-01-13
Last Update Date2007-07-08
Business Address
Ms. ELLEN R FORTIER PA
2191 9TH AVE N SUITE 240
ST PETERSBURG, FL 33713-7146
Phone number: 727-821-7163
Mailing Address
Ms. ELLEN R FORTIER PA
3212 W FIELDER ST
TAMPA, FL 33611-2912
Phone number: 813-966-1699
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