Fountain Family Medicine, PA
Fountain Family Medicine, PA is a Family Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11701-32 San Jose Blvd Ste 103Jacksonville, FL 32223
Phone: (904) 262-9075
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1124228119 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leanne Macdonald — Office Manager · (904) 262-9075 |
| NPI enumerated | July 19, 2007 |
| Last updated in NPPES | August 28, 2012 |
| Mailing address | 11701-32 San Jose, Suite 103, Jacksonville, FL 32223 |
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