Fuller Dermatology LLC
NPI 1083159529 · Medical Specialty Clinic/Center · South Pasadena, FL
Fuller Dermatology LLC is a Medical Specialty Clinic/Center organization in South Pasadena, FL (NPI 1083159529).
Provider details
- NPI number
- 1083159529
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Fuller, Owner(727) 347-7524
- License
- ME99153 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-12-19
- Last updated
- 2018-08-29
Frequently asked questions
- What is Fuller Dermatology LLC's NPI number?
- Fuller Dermatology LLC's National Provider Identifier (NPI) is 1083159529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fuller Dermatology LLC?
- Fuller Dermatology LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fuller Dermatology LLC located?
- Fuller Dermatology LLC's practice location on file with NPPES is 1609 Pasadena Ave S Ste 4c, South Pasadena, FL 33707.
- What is Fuller Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Fuller Dermatology LLC is (727) 347-7524.
- Who is the authorized official for Fuller Dermatology LLC?
- The authorized official listed on Fuller Dermatology LLC's NPPES record is Bruce Fuller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fuller Dermatology LLC's NPI active?
- Yes — Fuller Dermatology LLC's NPI (1083159529) is active in the NPPES registry as of the last update on 2018-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.