Organization
THOMAS J. FULLER, MD, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J. FULLER M.D. (OWNER)
(352) 867-8311
Entity
Organization
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34474-4005
(352) 867-8311
(352) 867-1053
Mailing address
PO BOX 5457, OCALA, FL 34478-5457
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
02/08/2010
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