Fantone, Joseph Carmine

Fantone, Joseph Carmine is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Immunopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Fantone, Joseph Carmine can be contacted via phone (352) 265-0237.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Fax: (352) 293-6249
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X 4301043224 Michigan
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 4301043224 Michigan
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME108855 Florida

Profile Details

NPI number 1730260175
LBN Legal business name Fantone, Joseph Carmine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Apr 1st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730260175 NPPES
Florida MEDICAID 003164400
Florida MEDICAID 1443784

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