Individual provider · Type 1 NPI

Alphonso Fontaine, PA

Medical Physician Assistant · Clearwater, FL

NPI number 1407806573 Active

Practice location

2250 Drew St
Clearwater, FL 33765-3305

Fax (727) 724-5689

Mailing address

PO Box 850001
Orlando, FL 32885-0254

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00002737 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1407806573

Alphonso Fontaine, PA's National Provider Identifier is 1407806573, issued on May 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clearwater, FL. The record was last updated on Feb 9, 2010.