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MARINA FULLER
NPI 1962147348
Nurse Practitioner - Family in Fort Lauderdale, FL

Active since May 01, 2022
1328 SE 17TH ST, FORT LAUDERDALE, FL 33316(954) 200-6001 Get Directions Write a Review

NPPES record last updated: May 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marina Fuller NPPES

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

MARINA FULLER (NPI 1962147348) is an individual family provider in Fort Lauderdale, Florida, licensed in Florida (APRN11018956) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1962147348
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARINA FULLER
Location Address1328 SE 17TH STFort Lauderdale, FL 33316-1708
Mailing Address19830 W Dixie Hwy Apt 5207Miami, FL 33180-2256 · (407) 800-5942
Phone(954) 200-6001
Sole ProprietorYes
Enumeration DateMay 1, 2022
NPPES CertifiedMay 1, 2022
✔ NPI 1962147348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11018956
1328 SE 17TH ST, Fort Lauderdale, FL 33316
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADRIAN T. MAESTAS M.D.
Emergency Medicine
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (954) 200-6001
ALEXANDER BIRUKOFF FNP-BC
Nurse Practitioner (Family)
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (754) 777-1333
ID&WM LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (754) 777-1333
TIMUR KADIROV APRN
Nurse Practitioner (Primary Care)
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (954) 200-6001

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 Marina Fuller's NPI number?

The NPI number for Marina Fuller is 1962147348. It was assigned to this individual provider in the NPPES registry on May 1, 2022.

Where is Marina Fuller located?

Marina Fuller practices at 1328 SE 17th St, Fort Lauderdale, FL 33316. The listed phone number is (954) 200-6001.

What is Marina Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marina Fuller was last updated on May 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.