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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

NPI Number 1255404620
LBN Legal business name JONATHAN E FOUNTAIN MD
Authorized official JONATHAN FOUNTAIN - (SOLE OWNER PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
FL License # 50330
FL Other 50330 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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