Fontane, Emily
Fontane, Emily is an individual health care provider with primary practice located at 655 W 8Th Street , Jacksonville FL 32209. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Fontane, Emily can be contacted via phone (904) 244-5044.Contact Information
Primary practice address
655 W 8Th Street
Jacksonville FL 32209
Phone: (904) 244-5044
Fax: (904) 244-4508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | D67938 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | D67938 | Maryland |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME99702 | Florida |
Profile Details
| NPI number | 1972504355 |
|---|---|
| LBN Legal business name | Fontane, Emily |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972504355 | NPPES |
| Florida | MEDICAID | 279794101 | |
| Florida | MEDICAID | 415631500 | |
| Florida | MEDICAID | 003105963A | |
| Florida | MEDICAID | 89129EX | |
| Florida | Other | 930109142 | |
| Florida | Other | 129EX |
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