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.

IndividualActive

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

ContractorPrimary171W00000XLicense PT 25414 (FL)
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

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Mailing address