Fuller, Antonia

Fuller, Antonia is an sole proprietor health care provider with primary practice located at 354 Paseo Reyes Drive , Saint Augustine FL 32095. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Fuller, Antonia can be contacted via phone (904) 808-8595.

Contact Information

Primary practice address
354 Paseo Reyes Drive Saint Augustine FL 32095
Phone: (904) 808-8595
Fax: (904) 808-8596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 1606392 Florida

Profile Details

NPI number 1942390265
LBN Legal business name Fuller, Antonia
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2006
Last updated Jan 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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