SearchFlorida207Q00000X

Stephanie Fulleborn, M.D

NPI 1437508678 · on the registry since 2016

Practice

Address
307 Boatner Rd Ste 114
Eglin Afb, FL 32542
Phone
(850) 883-8600
Organisation at this address
96th Medgrp-Eglin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
503

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida