# DR. PATRICK J. FULLERTON, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** StatMedX Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962743450
- **Authorized official:** PATRICK J FULLERTON D.O. (OWNER)
- **Authorized official phone:** (407) 754-5077

## Contact information

- **Practice address:** 2441 S HIAWASSEE RD, ORLANDO, FL 32835-6347
- **Practice address phone:** (407) 378-6339
- **Practice address fax:** (401) 378-6466
- **Mailing address:** 2441 S HIAWASSEE RD, ORLANDO, FL 32835-6347
- **Mailing address phone:** (407) 378-6339
- **Mailing address fax:** (407) 378-6466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | OS8087 | FL | Yes |

## Other

- **Enumeration date:** 03/07/2013
- **Last updated:** 07/22/2013