Individual
STEPHEN JOHN FULGIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1269 S MISSOURI AVE, CLEARWATER, FL 33756-4174
(727) 461-4011
(727) 442-1392
Mailing address
1269 S MISSOURI AVE, CLEARWATER, FL 33756-4174
(727) 461-4011
(727) 442-1392
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2536
FL
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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