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Individual

MISS ADRIENNE FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
1907 SUNSET PALM DR, APOPKA, FL 32712-8188
(407) 970-8484
Mailing address
235 E 5TH ST, APOPKA, FL 32703-5315
(407) 703-2711
(407) 910-2923

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 7338
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891325100
FL
Enumeration date
04/14/2007
Last updated
02/12/2026
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