FOUNTAIN FAMILY MEDICINE, PA

JACKSONVILLE, FL
NPI1124228119
Entity TypeOrganization
Authorized ContactLEANNE MACDONALD
Office Manager
904-262-9075
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-07-19
Last Update Date2012-08-28
Business Address
FOUNTAIN FAMILY MEDICINE, PA
11701-32 SAN JOSE BOULEVARD SUITE 103
JACKSONVILLE, FL 32223
Phone number: 904-262-9075
Mailing Address
FOUNTAIN FAMILY MEDICINE, PA
11701-32 SAN JOSE SUITE 103
JACKSONVILLE, FL 32223
Phone number: 904-262-9075
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