Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerome Timothy Fountain III

Individual provider Occupational Therapy Assistant · NPI 1952952087

Jerome Timothy Fountain III is an Occupational Therapy Assistant in Hialeah, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

17670 NW 78th Ave
Hialeah, FL 33015-3664
Phone: (305) 512-5757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA17452 (FL)

Record details

NPI number1952952087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 20, 2019
Last updated in NPPESSeptember 20, 2019

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