Fountain, Michael Warren

Fountain, Michael Warren is an individual health care provider with primary practice located at 1210 Waterman Way , Tavares FL 32778-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fountain, Michael Warren can be contacted via phone (352) 343-2364.

Contact Information

Primary practice address
1210 Waterman Way Tavares FL 32778-5229
Phone: (352) 343-2364
Fax: (352) 253-0022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X OS10783 Florida

Profile Details

NPI number 1023260205
LBN Legal business name Fountain, Michael Warren
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2008
Last updated Sep 9th, 2015 - about 11 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.

Request for update

Popular Providers