Individual
DR. JAMES H FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15761 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4176
(239) 415-8377
(239) 415-8770
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING AND RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME12279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051414400
—
FL
01
—
102044
AVMED
FL
01
—
16628
BCBS OF FL
FL
01
—
2524858
CIGNA
FL
01
—
4237105
AETNA
FL
01
—
P01283315
RAILROAD MCR
FL
01
—
P107611
FREEDOM HEALTH
FL
01
—
P952479
OPTIMUM
FL
Enumeration date
02/21/2006
Last updated
09/10/2014
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