Fountain, Michael Warren
Fountain, Michael Warren is an individual health care provider with primary practice located at 1210 Waterman Way , Tavares FL 32778-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fountain, Michael Warren can be contacted via phone (352) 343-2364.Contact Information
Primary practice address
1210 Waterman Way
Tavares FL 32778-5229
Phone: (352) 343-2364
Fax: (352) 253-0022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | OS10783 | Florida |
Profile Details
| NPI number | 1023260205 |
|---|---|
| LBN Legal business name | Fountain, Michael Warren |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2008 |
| Last updated | Sep 9th, 2015 - about 9 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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