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Individual
JOSEPH DONALD FOUNTAIN
Active
Individual
JOSEPH DONALD FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS13123
FL
207Q00000X
Family Medicine Physician
OS8585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267486600
—
FL
01
—
51546877
BCBS OF AL
AL
01
—
51546878
BLUE CROSS BLUE SHIELD OF AL
AL
01
—
57900
FL BLUE
FL
Enumeration date
07/28/2006
Last updated
10/13/2018
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