Individual provider · Type 1 NPI

Manita Fontaine

Licensed Practical Nurse · Tampa, FL

NPI number 1134092570 Active

Practice location

13506 N Rome Ave
Tampa, FL 33613-2027

Call (813) 389-5421 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5197301 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1134092570

Manita Fontaine's National Provider Identifier is 1134092570, issued on Sep 23, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tampa, FL. The record was last updated on Sep 23, 2025.