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Individual
GINA M LAFOUNTAIN
Active
Individual
GINA M LAFOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
F430227-1
NY
363L00000X
Nurse Practitioner
Primary
ARNP9429700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02580321
—
NY
01
—
P8REW
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
05/09/2008
Last updated
04/10/2017
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