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1386873388
HERMAN MICHAEL FOUNTAIN
VERO BEACH, FL
NPI
1386873388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME64065)
Enumeration Date
2009-07-11
Last Update Date
2018-06-08
Business Address
HERMAN MICHAEL FOUNTAIN M.D.
917 ORCHID POINT WAY
VERO BEACH, FL 32963
Phone number: 772-571-7016
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Mailing Address
HERMAN MICHAEL FOUNTAIN M.D.
362 17TH ST
VERO BEACH, FL 32960-5690
Phone number: 772-571-7016
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