Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alphonso Fontaine, PA

Individual provider Medical Physician Assistant · NPI 1407806573

Alphonso Fontaine, PA is a Physician Assistant in Clearwater, Florida. Qualified in 2001, 25 years ago. Practices with Mobile Anesthesia Associates LLC, a 44-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2250 Drew St
Clearwater, FL 33765-3305
Phone: (727) 724-5600
Fax: (727) 724-5689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00002737 (FL)

Record details

NPI number1407806573
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESFebruary 9, 2010
Mailing addressPo Box 850001, Orlando, FL 32885-0254

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mobile Anesthesia Associates Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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