Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDSEL FULLON, PT
Active Sole ProprietorEDSEL FULLON, PT is a Contractor healthcare provider located in LONGWOOD, Florida. NPI 1578006409 is currently active in the NPPES registry. Verify at CMS.
Contractor · LONGWOOD, FL
Registration Details
- NPI Number
- 1578006409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2016 (9.6768180838132 yrs)
- Last Updated
- Nov 26, 2016
- License
-
PT 25414 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
207 OVERSTREET AVELONGWOOD, FL, 327505428Browse FL providers · Browse ZIP 32750
- Phone
- 3212957678
- Fax
- 3212957678
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in LONGWOOD, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. LINDA MARIE BEAVER | LPTA | 1760504138 |
| TARSHA THOMAS | — | 1346428844 |
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.