Individual provider Active NPI

Lawrence Joseph Fortuna, MD

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1144334749
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46908 Issued in FL
Practice address
718 E McNab Rd
Pompano Beach, FL 33060-9430
Phone
(954) 876-0945
Fax
(954) 876-0965
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46908 FL Primary

Addresses

Primary practice location

718 E McNab Rd
Pompano Beach, FL 33060-9430

Mailing address

718 E McNab Rd
Pompano Beach, FL 33060-9430
Phone (954) 876-0945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041113000107 FL Practitioner - General Practice 8820052491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
George Washington University School of Medicine, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

718 E McNab Rd
Pompano Beach, FL 33060-9430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46908FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrencejfortunamdpa CurrentSince Jan 24, 2010 Accepting new patients

Locations

718 E McNab Rd
Pompano Beach, FL 33060
Phone (954) 876-0945

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144334749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E MCNAB RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609430",
            "telephone_number": "954-876-0945",
            "fax_number": "954-876-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 E MCNAB RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609430",
            "telephone_number": "954-876-0945",
            "fax_number": "954-876-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNA",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "46908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.