Dr. Emily Fontane, MD
Emergency Medicine in Jacksonville, FL. Individual provider (NPI-1).
NPI number1972504355
StatusActive
Last updated in NPPESMar 2, 2020
Details
- NPI
- 1972504355
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emily Fontane
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2005
- Certification date
- Mar 2, 2020
- Last updated
- Mar 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | ME99702 | FL | Yes |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | D67938 | MD | |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | D67938 | MD |
Practice location
655 W 8th StreetJacksonville, FL 32209
Phone 904-244-5044 · Fax 904-244-4508
Mailing address
Po Box 44008Ufjp Provider Enrollment
Jacksonville, FL 32231
Phone 904-244-3660 · Fax 904-244-3425
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