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MARK M FORTNEY PA
NPI 1649434093
Physician Assistant in Coconut Creek, FL

Active since July 15, 2008
6370 N STATE ROAD 7 STE 100, COCONUT CREEK, FL 33073(954) 321-7762(954) 321-9596 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 31, 2017 (2 updates tracked since 2017).

About Mark M Fortney Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK M FORTNEY PA (NPI 1649434093) is an individual physician assistant in Coconut Creek, Florida, licensed in Florida (PAT9104362) and active in the NPI registry since July 2008. He maintains a secondary practice location in Plantation.

NPPES Registry Identity

NPI1649434093
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK M FORTNEYCredential: PA
Location Address6370 N STATE ROAD 7 STE 100Coconut Creek, FL 33073-3606
Mailing Address6370 N State Road 7 Ste 100Coconut Creek, FL 33073-3606 · (954) 321-7762 · Fax (954) 321-9596
Phone(954) 321-7762
Fax(954) 321-9596
Sole ProprietorYes
Enumeration DateJuly 15, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1649434093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PAT9104362
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6370 N STATE ROAD 7 STE 100, Coconut Creek, FL 33073
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Secondary Practice Location 1

Location 14101 NW 3rd Ct, Suite 5Plantation, FL 33317-2857 · Phone (954) 321-7762 · Fax (954) 321-9596

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC SPECIALTY GROUP, INC
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
6370 N STATE ROAD 7 STE 100
COCONUT CREEK, FL 33073
Broward County (954) 321-7762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Fortney's NPI number?

The NPI number for Mark Fortney is 1649434093. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Mark Fortney located?

Mark Fortney practices at 6370 N State Road 7 Ste 100, Coconut Creek, FL 33073. The listed phone number is (954) 321-7762.

What is Mark Fortney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mark Fortney was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.