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Michael Fountain, D.O
NPI 1023260205 · on the registry since 2008
Practice
- Address
- 1210 Waterman Way
Tavares, FL 32778 - Phone
- (352) 343-2364
- Fax
- (352) 253-0022
- Organisation at this address
- J Derek Thompson Md Pa
Citrus Urology Associates P AInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Urology Physician
208800000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida