DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL WARREN FOUNTAIN, D.O.

Active

DR. MICHAEL WARREN FOUNTAIN, D.O. is a Urology healthcare provider located in TAVARES, Florida. NPI 1023260205 is currently active in the NPPES registry. Verify at CMS.

Urology · TAVARES, FL

Registration Details

NPI Number
1023260205
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2008 (17.845574661504 yrs)
Last Updated
Sep 9, 2015
License
OS10783 (FL)

Practice Information

Address
1210 WATERMAN WAY
TAVARES, FL, 327785229
Browse FL providers · Browse ZIP 32778
Phone
3523432364
Fax
3522530022
Primary Specialty
Urology
208800000X

Other Urology Providers in TAVARES, FL

Name Credential NPI
RANDOLPH GRAY HUNTER MD 1033106422
JASON L. GERBOC D.O. 1548374325
DR. ALLISON BETH BOEMER M.D. 1831532217
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.