Fullon, Edsel
Fullon, Edsel is an sole proprietor health care provider with primary practice located at 207 Overstreet Ave , Longwood FL 32750-5428. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Fullon, Edsel can be contacted via phone (321) 295-7678.Contact Information
Primary practice address
207 Overstreet Ave
Longwood FL 32750-5428
Phone: (321) 295-7678
Fax: (321) 295-7678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | PT 25414 | Florida |
Profile Details
| NPI number | 1578006409 |
|---|---|
| LBN Legal business name | Fullon, Edsel |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2016 |
| Last updated | Nov 26th, 2016 - about 8 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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