FOUNTAIN FAMILY MEDICINE, PA is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FOUNTAIN FAMILY MEDICINE, PA NPI is 1124228119. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
11701-32 SAN JOSE BOULEVARD
SUITE 103
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 262-9075
The provider's authorized official is Leanne Macdonald .
The authorized official title is Office Manager and has the following contact phone number (904) 262-9075.
The CLIA number assigned to this NPI record is 10D1043115 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/19/2007 and was last updated on 8/28/2012.