| Jonathan E Fountain MD | |
|
5976 Berryhill Rd Milton FL 32570 | |
| (850) 626-0400 | |
| (850) 626-0204 |
| Full Name | Jonathan E Fountain MD |
|---|---|
| Speciality | Family Medicine |
| Location | 5976 Berryhill Rd, Milton, Florida |
| Authorized Official Name and Position | Jonathan E Fountain (SOLE OWNER PRACTITIONER) |
| Authorized Official Contact | 8506260400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan E Fountain MD 5976 Berryhill Rd Milton FL 32570 Ph: (850) 626-0400 | Jonathan E Fountain MD 5976 Berryhill Rd Milton FL 32570 Ph: (850) 626-0400 |
| NPI Number | 1255404620 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255404620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50330 (Florida) | Primary |
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