Fontane, Emily

Fontane, Emily is an individual health care provider with primary practice located at 655 W 8Th Street , Jacksonville FL 32209. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Fontane, Emily can be contacted via phone (904) 244-5044.

Contact Information

Primary practice address
655 W 8Th Street Jacksonville FL 32209
Phone: (904) 244-5044
Fax: (904) 244-4508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X D67938 Maryland
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X D67938 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME99702 Florida

Profile Details

NPI number 1972504355
LBN Legal business name Fontane, Emily
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 2nd, 2020 - about 4 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 1972504355 NPPES
Florida MEDICAID 279794101
Florida MEDICAID 415631500
Florida MEDICAID 003105963A
Florida MEDICAID 89129EX
Florida Other 930109142
Florida Other 129EX

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