Organization
FULLER & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FULLER MS (OWNER)
(407) 716-7669
Entity
Organization
Contact information
Practice address
1743 GAY DR, ORLANDO, FL 32803-1914
(407) 716-7669
(407) 641-9615
Mailing address
1743 GAY DR, ORLANDO, FL 32803-1914
(407) 716-7669
(407) 641-9615
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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