EDSEL FULLON PT
NPI 1578006409
Contractor in Longwood, FL
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
Specialties & Licenses
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.