MICHAEL WARREN FOUNTAIN

TAVARES, FL
NPI1023260205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: FL  OS10783)
Enumeration Date2008-10-19
Last Update Date2015-09-09
Business Address
Dr. MICHAEL WARREN FOUNTAIN D.O.
1210 WATERMAN WAY
TAVARES, FL 32778-5229
Phone number: 352-343-2364
Mailing Address
Dr. MICHAEL WARREN FOUNTAIN D.O.
1210 WATERMAN WAY
TAVARES, FL 32778-5229
Phone number: 352-343-2364
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