FOUNTAIN FAMILY MEDICINE, PA – NPI #1124228119
Family Medicine

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 is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1124228119 to FOUNTAIN FAMILY MEDICINE, PA on July 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Aug 28, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOUNTAIN FAMILY MEDICINE, PA below.

NPI Profile for
FOUNTAIN FAMILY MEDICINE, PA

NPI Number
1124228119
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOUNTAIN FAMILY MEDICINE, PA
Primary location
11701-32 SAN JOSE BOULEVARD
SUITE 103
JACKSONVILLE, FL 32223
Phone: (904) 262-9075 Fax:
Mailing address
11701-32 SAN JOSE
SUITE 103
JACKSONVILLE, FL 32223
Phone: (904) 262-9075 Fax:
Organization Subpart
No
Authorized Official
LEANNE MACDONALD
OFFICE MANAGER
Phone: (904) 262-9075
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.