Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark M Fortney, PA

Individual provider Physician Assistant · NPI 1649434093

Mark M Fortney, PA is a Physician Assistant in Coconut Creek, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6370 N State Road 7 Ste 100
Coconut Creek, FL 33073-3606
Phone: (954) 321-7762
Fax: (954) 321-9596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4101 Nw 3rd Ct, Plantation, FL 33317-2857 — (954) 321-7762

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAT9104362 (FL)

Record details

NPI number1649434093
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 15, 2008
Last updated in NPPESMarch 17, 2018
Mailing address6370 N State Road 7 Ste 100, Coconut Creek, FL 33073-3606

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