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Danielle Fortner, DC

Chiropractor in St Petersburg, FL. Individual provider (NPI-1).

NPI number1982169686
StatusActive
Last updated in NPPESFeb 6, 2019

Details

NPI
1982169686
Entity type
Individual (NPI-1)
Name
Danielle Fortner
Credential
DC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 6, 2019
Last updated
Feb 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor12724FLYes

Practice location

6044 30th Ave N
St Petersburg, FL 33710-3334

Phone 813-360-6820

Mailing address

6044 30th Ave N
St Petersburg, FL 33710-3334

Phone 813-360-6820

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