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

JEROME TIMOTHY FOUNTAIN III

Active Sole Proprietor

JEROME TIMOTHY FOUNTAIN III is a Occupational Therapy Assistant healthcare provider located in HIALEAH, Florida. NPI 1952952087 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HIALEAH, FL

Registration Details

NPI Number
1952952087
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2019 (6.8949044620812 yrs)
Last Updated
Sep 20, 2019
License
OTA17452 (FL)
Sole Proprietor
Yes

Practice Information

Address
17670 NW 78TH AVE
HIALEAH, FL, 330153664
Browse FL providers · Browse ZIP 33015
Phone
3055125757
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in HIALEAH, FL

Name Credential NPI
YESENIA CARMEN VERGEL COTA 1821267246
YAMILKA CORTINA C OTA 1881839215
MELY MARIE GAMBA-RIVERA COTA/L 1508093170
KARINA YANEZ COTA/L 1396972964
JENNILEE HERNANDEZ COTA/L 1942438114
ELIZABETH MARIE LIND OTA/L 1194028944
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.