Active NPI
Pierre J. Fontaine, M.D.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1790949543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME133510
- Practice address
- 724 Charles St
Orlando, FL 32808-7509 - Phone
- (407) 704-8724
- Fax
- (407) 730-3446
- NPI assigned
- Jul 10, 2008
- Reactivated
- Sep 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME133510 | FL | Primary |
Addresses
Primary practice location
724 Charles St
Orlando, FL 32808-7509
Mailing address
PO. Box. 682027
Orlando, FL 32818
Phone (407) 704-8724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJP Internal Medicine Group LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba JJP Internal Medicine Group
- Internal Medicine Physician
- Atlanta, GA
- NPI 1285070706
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1790949543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO. BOX. 682027",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32818",
"telephone_number": "407-704-8724",
"fax_number": "407-730-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 CHARLES ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087509",
"telephone_number": "407-704-8724",
"fax_number": "407-730-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "PIERRE",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2024-09-26",
"certification_date": "2023-08-07",
"deactivation_date": "2024-08-17",
"reactivation_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME133510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.