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Edsel Fullon, PT
NPI 1578006409 · on the registry since 2016 · sole proprietor
Practice
- Address
- 207 Overstreet Ave
Longwood, FL 32750 - Phone
- (321) 295-7678
- Fax
- (321) 295-7678
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-26
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