Individual
ALPHONSO FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2250 DREW ST, CLEARWATER, FL 33765-3305
(727) 724-5600
(727) 724-5689
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0254
(727) 724-5600
(727) 724-5689
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00002737
FL
Other
Enumeration date
05/11/2006
Last updated
02/09/2010
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