| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TORI FERTIC | 1518515576 | 2022-12-03 |
Tori Fertic is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518515576. Registration indicates Tori Fertic is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Mrs. Tori Fertic |
| Practice Office Address | 2415 N ORANGE AVE STE 302 ORLANDO, FL US |
| Practice Office Telephone | 4073037250 |
| Mailing Address | 2415 N ORANGE AVE STE 302 ORLANDO, FL 328045505 US |
| Business Telephone | 4073037250 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 601 E Rollins St | Orlando, FL 328031248 | 4073035600 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 11003861
FL |