ALPHONSO FONTAINE

CLEARWATER, FL
NPI1407806573
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA00002737)
Enumeration Date2006-05-11
Last Update Date2010-02-09
Business Address
-- ALPHONSO FONTAINE PA
2250 DREW ST
CLEARWATER, FL 33765-3305
Phone number: 727-724-5600
Mailing Address
-- ALPHONSO FONTAINE PA
PO BOX 850001
ORLANDO, FL 32885-0254
Phone number: 727-724-5600
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