FULLER REHABILITATION AND CONSULTING SERVICES INC. NPI 1043445653

NPI Information

NPI: 1043445653
Provider Name: FULLER REHABILITATION AND CONSULTING SERVICES, INC.

Doing Business As: FULLER REHABILITATION

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
3728 PHILIPS HWY
SUITE 38
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 399-3509
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FULLER REHABILITATION AND CONSULTING SERVICES, INC. is a customized equipment durable medical equipment medical supplies in Jacksonville, FL. FULLER REHABILITATION AND CONSULTING SERVICES, INC. NPI is 1043445653. The provider is registered as an organization entity type.
The provider Is Doing Business As Fuller Rehabilitation.

The provider's business location address is:

3728 PHILIPS HWY
SUITE 38
JACKSONVILLE, FL
ZIP 32207-840
Phone: (904) 399-3509
Fax: (904) 399-3507

The provider's authorized official is Carter D. Fuller .
The authorized official title is President, Ceo and has the following contact phone number (706) 965-0352.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 5/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			FLORIDA	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	1313554	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0952950014	MEDICARE NSC	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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