Fontaine, Jacques-Pierre
Fontaine, Jacques-Pierre is an individual health care provider with primary practice located at 12902 Magnolia Dr , Tampa FL 33612-9416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Fontaine, Jacques-Pierre can be contacted via phone (813) 745-3050.Contact Information
Primary practice address
12902 Magnolia Dr
Tampa FL 33612-9416
Phone: (813) 745-3050
Fax: (813) 745-3027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME108852 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME108852 | Florida |
Profile Details
| NPI number | 1205028867 |
|---|---|
| LBN Legal business name | Fontaine, Jacques-Pierre |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Dec 21st, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205028867 | NPPES |
| Florida | MEDICAID | 003120100 |
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