EDSEL FULLON PT
NPI 1578006409
Contractor in Longwood, FL

Active since November 26, 2016
207 OVERSTREET AVE, LONGWOOD, FL 32750(321) 295-7678(321) 295-7678 Get Directions Write a Review

NPPES record last updated: November 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edsel Fullon Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDSEL FULLON PT (NPI 1578006409) is an individual contractor provider in Longwood, Florida, licensed in Florida (PT 25414) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1578006409
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameEDSEL FULLONCredential: PT
Location Address207 OVERSTREET AVELongwood, FL 32750-5428
Mailing Address207 Overstreet AveLongwood, FL 32750-5428 · (321) 295-7678 · Fax (321) 295-7678
Fax(321) 295-7678
Sole ProprietorYes
Enumeration DateNovember 26, 2016
NPI 1578006409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in FL · PT 25414
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
207 OVERSTREET AVE, Longwood, FL 32750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edsel Fullon's NPI number?

The NPI number for Edsel Fullon is 1578006409. It was assigned to this individual provider in the NPPES registry on November 26, 2016.

Where is Edsel Fullon located?

Edsel Fullon practices at 207 Overstreet Ave, Longwood, FL 32750. The listed phone number is (321) 295-7678.

What is Edsel Fullon's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Edsel Fullon was last updated on November 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.