Juliana M Fort MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JULIANA M FORT MD LLC

Practice address

10 N Section St # 126
Fairhope, AL 36532-2205

Phone

(251) 978-9813

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juliana M Fort, M.D.

Title

Owner

Phone

(251) 978-9813

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1316120819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N SECTION ST # 126",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322205",
            "telephone_number": "251-978-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N SECTION ST # 126",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322205",
            "telephone_number": "251-978-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANA M FORT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-978-9813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.