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Contact Information

ENRI FORT, MS,CCC-SLP
1992 LEWIS TURNER BLVD SUITE 1067 #255
FORT WALTON BEEACH, FL32547
 Phone: 850-830-3314
 Fax: 850-904-0355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for ENRI FORT · (Female)

NPI # 1497385520
Status Active
Credentials MS,CCC-SLP
Entity Individual
Enumeration date 01/16/2020
Last updated 11/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 18378
  • FL License # SA18378
  • FL Medicaid 117493600
  • FL Medicaid 117725200
  • FL Medicaid 118480700
  • FL Medicaid 118599100
  • FL Other SA18378 DOH
  • MD Other 12030298 ASHA CCC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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