Fuller, John Bryant

Fuller, John Bryant is an individual health care provider with primary practice located at 5145 Deer Park Dr , New Port Richey FL 34653-7013. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Fuller, John Bryant can be contacted via phone (904) 501-0083.

Contact Information

Primary practice address
5145 Deer Park Dr New Port Richey FL 34653-7013
Phone: (904) 501-0083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME155800 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New Mexico
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD2024-0084 New Mexico

Profile Details

NPI number 1720469174
LBN Legal business name Fuller, John Bryant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Mar 1st, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720469174 NPPES
New Mexico Other MD2024-0084 NM LICENSE

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