Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICK J. FULLERTON, D.O.
ActiveDR. PATRICK J. FULLERTON, D.O. is a Vascular Surgery healthcare provider located in MOUNT DORA, Florida. NPI 1811039555 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MOUNT DORA, FL
Registration Details
- NPI Number
- 1811039555
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.500991097893 yrs)
- Last Updated
- Aug 12, 2025
- Licenses
-
OS8087 (FL)OS8087 (FL)OS8087 (FL)
Practice Information
- Address
-
6909 OLD HIGHWAY 441 S STE 222MOUNT DORA, FL, 327577039Browse FL providers · Browse ZIP 32757
- Phone
- 3524419803
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Vascular Surgery
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.