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Edsel Fullon, PT
NPI 1578006409 · Contractor · Longwood, FL
Edsel Fullon, PT is a Contractor provider in Longwood, FL (NPI 1578006409).
Provider details
- NPI number
- 1578006409
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT 25414 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
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
207 Overstreet Ave
Longwood, FL 32750-5428
Phone: (321) 295-7678
Fax: (321) 295-7678
Street-level locationGet directions
Mailing address
207 Overstreet Ave
Longwood, FL 32750-5428
Registry dates
- Enumerated
- 2016-11-26
- Last updated
- 2016-11-26
Frequently asked questions
- What is Edsel Fullon's NPI number?
- Edsel Fullon's National Provider Identifier (NPI) is 1578006409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edsel Fullon's specialty?
- Edsel Fullon is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Edsel Fullon located?
- Edsel Fullon's practice location on file with NPPES is 207 Overstreet Ave, Longwood, FL 32750-5428.
- What is Edsel Fullon's phone number?
- The practice phone number listed in the NPPES registry for Edsel Fullon is (321) 295-7678.
- Is Edsel Fullon's NPI active?
- Yes — Edsel Fullon's NPI (1578006409) is active in the NPPES registry as of the last update on 2016-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.