Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY CHAD FULLER, STUDENT
ActiveLARRY CHAD FULLER, STUDENT is a Diagnostic Radiology healthcare provider located in GAINESVILLE, Florida. NPI 1912360421 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · GAINESVILLE, FL
Registration Details
- NPI Number
- 1912360421
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2016 (10.33845080325 yrs)
- Last Updated
- Oct 1, 2025
- Licenses
-
0102209072 (VA)1322733 (GA)OS17722 (FL)
Practice Information
- Address
-
1600 SW ARCHER RDGAINESVILLE, FL, 326102360Browse FL providers · Browse ZIP 32610
- Phone
- 3522650291
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in GAINESVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| WALTER J MILTON | MD | 1669475554 |
| MARK F PATLOVICH | MD | 1659374551 |
| PRESTON R LOTZ | MD | 1639172521 |
| JOHN S SHAHAN | MD | 1710980602 |
| ANDRES R ACOSTA | MD | 1962405852 |
| DR. ERIC KIRK THOBURN | MD | 1700883485 |
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.