Individual
JACQUES-PIERRE FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 449-8077
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME108852
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME108852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120100
—
FL
Enumeration date
08/16/2007
Last updated
05/10/2026
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