MEDICARE: DR. ARNOLD DOUGLAS FONG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0065011	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770571283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNOLD DOUGLAS FONG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3224
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32004-3224
Country	:	US
Telephone Number	:	904-280-8228
Fax Number	:	904-280-8208

Provider Business Practice Location Address
First Line	:	1102 A1A N
Second Line	:	SUITE 106
City	:	PONTE VEDRA
State	:	FL
Zip	:	32082-4098
Country	:	US
Telephone Number	:	904-280-8228
Fax Number	:	904-280-8208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	04/24/2012

Similar Medicare Providers

1417603325 — ANNE MARIE ESPOSITO LMHC, NCC
Practice Location Address:

1102 A1A N STE 203
PONTE VEDRA BEACH, FL
32082-4098

Practice Phone: 904-544-9747
Practice Fax:

1336131788 — OCCUPLAY INC
Practice Location Address:

1102 A1A N , SUITE 105
PONTE VEDRA BEACH, FL
32082-4098

Practice Phone: 904-382-9790
Practice Fax: 904-373-0469

1750348009 — DR. AYLIN OZDEMIR M.D.
Practice Location Address:

1102 A1A N STE 104
PONTE VEDRA BEACH, FL
32082-4098

Practice Phone: 904-273-6533
Practice Fax: 904-273-6532

1861661787 — ARNOLD D FONG MD PA
Practice Location Address:

1102 A1A N , SUITE 106
PONTE VEDRA, FL
32082-4098

Practice Phone: 904-280-8228
Practice Fax:

1518108307 — MISS BROOKE HOLWAY ARNP
Practice Location Address:

1102 A1A N STE 104
PONTE VEDRA BEACH, FL
32082-4098

Practice Phone: 904-273-6533
Practice Fax: 904-273-6532

1144562000 — WILLIAM KEITH GALER MS, LMFT
Practice Location Address:

1102 A1A N STE 203
PONTE VEDRA, FL
32082-4098

Practice Phone: 904-569-6875
Practice Fax: 904-833-3373

Directions to “ DR. ARNOLD DOUGLAS FONG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.