Search › Florida › 367H00000X
Shannia Fullerton
NPI 1912510124 · on the registry since 2020
Practice
- Address
- 62 Columbia St
Orlando, FL 32806 - Phone
- (321) 214-4903
- Fax
- (321) 843-2196
- Clinicians at this address
- 69
Additional practice sites
- 1775 W Hibiscus Blvd Ste 215, Melbourne, FL
Registry record
- Primary taxonomy
- 367H00000X
367H00000X
- Also registered as
- 207L00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-29
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