Jean-Marcel Forte, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9107467 Issued in FL

Practice address

1736 E Commercial Blvd
Oakland Park, FL 33334-5721

Phone

(954) 267-9696

Fax

(954) 337-0319

NPI assigned

Dec 27, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Alphonse G. Dufreny Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jean-marcel.forte@451.emedpractice.direct-ci.com

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.

• Revelation Family Medicine Office, LLC.

  • Adult Medicine Physician
  • Hollywood, FL
  • NPI 1912472200
  NPD Authorized official

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1780005397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 FILLMORE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216913",
            "telephone_number": "305-807-4283",
            "fax_number": "954-337-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345721",
            "telephone_number": "954-267-9696",
            "fax_number": "954-337-0319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 NW 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331682506",
            "country_code": "US",
            "telephone_number": "305-751-1500",
            "fax_number": "305-751-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTE",
        "first_name": "JEAN-MARCEL",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-27",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9107457",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9107467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALPHONSE",
            "last_name": "DUFRENY",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fort Lauderdale Hospital Inc.
• Fort Lauderdale Hospital Inc.
• Fort Lauderdale Medical Center, Inc
• Fort Lauderdale Pharmacy LLC
• Fort Lauderdale Womens Center LLC
• Foundations of South Florida
• Joshua Keith Fowler, D.O.
• Anita Fox
• Foxx Transportation Solutions, LLC
• Casey Francis, DPT

• Medical Physician Assistant in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.