Fullerton, Patrick J.

Fullerton, Patrick J. is an individual health care provider with primary practice located at 22326 Us Highway 27 Ste C , Leesburg FL 34748. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fullerton, Patrick J. can be contacted via phone (407) 635-3313.

Contact Information

Primary practice address
22326 Us Highway 27 Ste C Leesburg FL 34748
Phone: (407) 635-3313
Fax: (407) 636-7827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS8087 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS8087 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8087 Florida

Profile Details

NPI number 1811039555
LBN Legal business name Fullerton, Patrick J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 28th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811039555 NPPES
Florida Other OS8087 MEDICAL LICENSE NUMBER
Florida MEDICAID 015379100 MEDICAL LICENSE NUMBER

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