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Contact Information

JONATHAN E FOUNTAIN MD
5976 BERRYHILL RD
MILTON, FL32570
 Phone: 850-626-0400
 Fax: 850-626-0204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JONATHAN E FOUNTAIN MD · (Female)

NPI Number 1255404620
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 50330
  • FL Other 50330 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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