Individual provider · Type 1 NPI

Edsel Fullon, PT

Contractor · Longwood, FL

NPI number 1578006409 Active

Practice location

207 Overstreet Ave
Longwood, FL 32750-5428

Fax (321) 295-7678

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XPT 25414 (FL)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1578006409

Edsel Fullon, PT's National Provider Identifier is 1578006409, issued on Nov 26, 2016. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Longwood, FL. The record was last updated on Nov 26, 2016.