| Fuller & Associates, Llc | |
|
1743 Gay Dr Orlando FL 32803-1914 | |
| (407) 716-7669 | |
| (407) 641-9615 |
| Full Name | Fuller & Associates, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1743 Gay Dr, Orlando, Florida |
| Authorized Official Name and Position | Michael Fuller (OWNER) |
| Authorized Official Contact | 4077167669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuller & Associates, Llc 1743 Gay Dr Orlando FL 32803-1914 Ph: (407) 716-7669 | Fuller & Associates, Llc 1743 Gay Dr Orlando FL 32803-1914 Ph: (407) 716-7669 |
| NPI Number | 1114426400 |
|---|---|
| Provider Enumeration Date | 02/02/2018 |
| Last Update Date | 02/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114426400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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