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Jordan Fuller, D.O
NPI 1679922678 · on the registry since 2016
Practice
- Address
- 61 Dolphin Dr
Treasure Island, FL 33706 - Phone
- (727) 853-1701
- Organisation at this address
- Premier St. Petersburg
Bayside Medical Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-24
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