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Dr. Michael Warren Fountain, DO
Urology Physician in Tavares, Florida
NPI 1023260205

Michael Warren Fountain is a Urology Physician based in Tavares, FL. Michael Warren Fountain practices in Tavares, FL and has the professional credentials of DO. The NPI Number for Michael Warren Fountain is 1023260205 and holds a License No. OS10783 (Florida).

The current practice location address for Michael Warren Fountain is 1210 Waterman Way, Tavares, FL and can be reached out via phone at 352-343-2364 and via fax at 352-253-0022. You can also correspond with Michael Warren Fountain through the mailing address at 1210 WATERMAN WAY, TAVARES, FL - 32778-5229 (mailing address contact number: 352-343-2364).

Location: 1210 Waterman Way, Tavares, FL, 32778-5229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023260205
Provider Name
Michael Warren Fountain
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1210 Waterman Way, Tavares, FL, 32778-5229
Phone Number
352-343-2364
Fax Number
352-253-0022
Provider Enumeration Date
10/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1210 Waterman Way
City
Tavares
State
Florida
Zip
32778-5229
Phone Number
352-343-2364
Fax Number
352-253-0022
person
Provider Business Mailing Address Details
Address
1210 Waterman Way
City
Tavares
State
Florida
Zip
32778-5229
Phone Number
352-343-2364
Fax Number
352-253-0022
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
OS10783 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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