Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL B FULFORD, PA-C
ActiveRANDALL B FULFORD, PA-C is a Physician Assistant healthcare provider located in FERNANDINA BEACH, Florida. NPI 1295795896 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FERNANDINA BEACH, FL
Registration Details
- NPI Number
- 1295795896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2006 (20.342277434184 yrs)
- Last Updated
- Feb 1, 2017
- Licenses
-
004674 (GA)PA3183 (FL)
Practice Information
- Address
-
96279 BRADY POINT RDFERNANDINA BEACH, FL, 320347076Browse FL providers · Browse ZIP 32034
- Phone
- 9043210088
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FERNANDINA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| ROBERT J MUNOZ | P.A. | 1972589612 |
| MR. BRYAN KEITH RAWLINSON | P.A. | 1922079425 |
| ROBIN BRIGGS | PAC | 1417924945 |
| MALCOLM HICKOX | PA-C | 1457385171 |
| LORI YOUNG TILTON | PA-C | 1306948179 |
| LISA D LEMLEY GIBSON | PA | 1548338353 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.