Individual
BILLY RAY FULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16731 MCGREGOR BLVD, SUITE 105, FORT MYERS, FL 33908-3843
(239) 437-2121
Mailing address
16731 MCGREGOR BLVD, SUITE 105, FORT MYERS, FL 33908-3843
(239) 437-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME63287
FL
Other
Enumeration date
09/13/2006
Last updated
08/09/2011
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