Provider Demographics
NPI:1518361377
Name:LAFONTANT, ANNE J (MD)
Entity type:Individual
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First Name:ANNE
Middle Name:J
Last Name:LAFONTANT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:844-630-0700
Mailing Address - Fax:877-374-1924
Practice Address - Street 1:2577 SIMPSON RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4642
Practice Address - Country:US
Practice Address - Phone:407-348-8338
Practice Address - Fax:407-348-1709
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2025-07-03
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Provider Licenses
StateLicense IDTaxonomies
FLACN763208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice