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

Mr. Dennis Leroy Fortner III, PA

Individual provider Medical Physician Assistant · NPI 1891092771

Mr. Dennis Leroy Fortner III, PA is a Medical Physician Assistant in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
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

298 S Yonge St
Ormond Beach, FL 32174-6264
Phone: (386) 479-2151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9105894 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9105894 (FL)

Record details

NPI number1891092771
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 11, 2011
Last updated in NPPESOctober 16, 2016

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