Justin George Fontanini, DOM, AP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2220 Issued in FL

Practice address

9070 58TH Dr E
Suite 101
Lakewood Ranch, FL 34202-6110

Phone

(941) 752-4838

NPI assigned

Oct 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467538710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 58TH ST APT 1003",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815513",
            "telephone_number": "727-547-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 58TH DR E",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026110",
            "telephone_number": "941-752-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANINI",
        "first_name": "JUSTIN",
        "middle_name": "GEORGE",
        "credential": "DOM, AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.