Individual provider · Type 1 NPI

Michael Warren Fountain, DO

Urology Physician · Tavares, FL

NPI number 1023260205 Active

Practice location

1210 Waterman Way
Tavares, FL 32778-5229

Fax (352) 253-0022

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XOS10783 (FL)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1023260205

Michael Warren Fountain, DO's National Provider Identifier is 1023260205, issued on Oct 19, 2008. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Tavares, FL. The record was last updated on Sep 9, 2015.