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

FOUNTAIN FAMILY MEDICINE, PA

Active Organization

FOUNTAIN FAMILY MEDICINE, PA is a Family Medicine organization located in JACKSONVILLE, Florida. NPI 1124228119 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSONVILLE, FL

Registration Details

NPI Number
1124228119
Provider Type
Organization
NPI Issued
Jul 19, 2007 (19.067930618738 yrs)
Last Updated
Aug 28, 2012

Practice Information

Address
11701-32 SAN JOSE BOULEVARD
SUITE 103
JACKSONVILLE, FL, 32223
Browse FL providers · Browse ZIP 32223
Phone
9042629075
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.