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Paul Fulghum, OD PA
NPI 1962436121 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4225 Lakeside Dr
Jacksonville, FL 32210 - Phone
- (904) 387-5704
- Fax
- (904) 387-5751
- Organisation at this address
- Paul Fulghum Od Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-29
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