Individual
MAX FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1077 TAMIAMI TRL N, NOKOMIS, FL 34275-2163
(941) 486-0950
Mailing address
3724 PARKRIDGE CIR, SARASOTA, FL 34243-1447
(757) 288-8355
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AST1364
FL
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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