Individual
DR. BRIAN WILLIAM FULLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1700 N MCMULLEN BOOTH RD, #C-2, CLEARWATER, FL 33759-2130
(727) 330-7646
(727) 330-7645
Mailing address
1700 N MCMULLEN BOOTH RD, #C-2, CLEARWATER, FL 33759-2130
(727) 330-7646
(727) 330-7645
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
556
CT
213ES0131X
Foot Surgery Podiatrist
Primary
PO3445
FL
Other
Enumeration date
06/29/2006
Last updated
09/23/2014
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