Prem Fort
MD | Pediatric Neonatal-Perinatal Medicine | Male
Prem Fort, MD is a St Petersburg, Florida based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Prem Fort is
501 6th Ave S, St Petersburg, Florida - 33701-4634. He can be contacted on phone at
727-767-4313 and fax number 727-767-4391.
Prem Fort is a sole proprietor of his business.
NPI number (Unique professional ID) for Prem Fort is
1639345580 which was assigned by NPPES on 01 May, 2008 and it was last updated on 24 Jun, 2016.
Prem Fort license number is
ME123447 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Florida.
Prem Fort is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Prem Fort basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Prem Fort |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Prem Fort address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 501 6th Ave S
St Petersburg, FL, 33701-4634
United States |
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| Phone Number : | 727-767-4313 |
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| Fax Number : | 727-767-4391 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639345580 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 May, 2008 |
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| Last Updated On : | 24 Jun, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prem Fort are as mentioned. Primary taxonomy code for Prem Fort, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | ME123447 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Prem Fort such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 014799700 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 501 6th Ave S
St Petersburg, FL, 33701-4634
United States |
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| Phone Number : | 727-767-4313 |
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| Fax Number : | 727-767-4391 |
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Business Location:
Patients can refer following map for directions to
Prem Fort practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.