Provider Demographics
NPI:1316135320
Name:FONT, JEAN PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:PAUL
Last Name:FONT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 SW 124TH AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4634
Mailing Address - Country:US
Mailing Address - Phone:305-485-7881
Mailing Address - Fax:305-485-7883
Practice Address - Street 1:8501 SW 124TH AVE STE 312
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4634
Practice Address - Country:US
Practice Address - Phone:305-485-7881
Practice Address - Fax:305-485-7883
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP20023514207Y00000X
NMMD 2009-0205207YS0123X
FLME106115207YX0905X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003017100Medicaid
FL003017100Medicaid