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JONATHAN E FOUNTAIN MD NPI 1255404620


NPI Information

NPI: 1255404620
Provider Name: JONATHAN E FOUNTAIN MD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5976 BERRYHILL RD
MILTON, FL
ZIP 32570
Phone: (850) 626-0400
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JONATHAN E FOUNTAIN MD is a family medicine in Milton, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JONATHAN E FOUNTAIN MD NPI is 1255404620. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5976 BERRYHILL RD
MILTON, FL
ZIP 32570
Phone: (850) 626-0400
Fax: (850) 626-0204

The provider's authorized official is Jonathan E Fountain .
The authorized official title is SOLE OWNER PRACTITIONERPractitioner and has the following contact phone number (850) 626-0400.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine50330FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150330OTHERFLORIDASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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