EDSEL FULLON PT NPI 1578006409

NPI Information

  • NPI: 1578006409
  • Provider Name: EDSEL FULLON, PT
  • Classification: Contractor - 171W00000X
  • Entity Type: Individual
  • Address: 207 OVERSTREET AVE
    LONGWOOD, FL
    ZIP 32750
  • Phone: (321) 295-7678

Map and Directions

Get Directions

NPI Details

Edsel Fullon, PT is a contractor in Longwood, FL. The provider is 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 relation to a provider's employment status. Edsel Fullon, PT NPI is 1578006409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

207 OVERSTREET AVE
LONGWOOD, FL
ZIP 32750-428
Phone: (321) 295-7678
Fax: (321) 295-7678

The enumeration date for this NPI number is 11/26/2016 and was last updated on 11/26/2016.

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
1171W00000XContractorPT 25414FLORIDAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI