Individual
DR. CHARLES L FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8841 COLLEGE PKWY, SUITE 102, FORT MYERS, FL 33919-4858
(239) 275-0770
(239) 275-5770
Mailing address
8841 COLLEGE PKWY, SUITE 102, FORT MYERS, FL 33919-4858
(239) 275-0770
(239) 275-5770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22993X
MEDICARE
FL
Enumeration date
04/25/2006
Last updated
10/15/2007
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