Provider Demographics
NPI:1518361377
Name:LAFONTANT, ANNE J (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:J
Last Name:LAFONTANT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2600 S DOUGLAS RD STE 308
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6134
Mailing Address - Country:US
Mailing Address - Phone:305-913-9441
Mailing Address - Fax:305-442-1198
Practice Address - Street 1:1509 W. REYNOLDS ST JAY CARE MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563
Practice Address - Country:US
Practice Address - Phone:813-704-6905
Practice Address - Fax:813-704-5998
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2018-09-14
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Provider Licenses
StateLicense IDTaxonomies
PR18918208D00000X
FLACN763208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice