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Organization

DR. PATRICK J. FULLERTON, INC

Active
Other names
StatMedX Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK J FULLERTON D.O. (OWNER)
(407) 754-5077
Entity
Organization

Contact information

Practice address
2441 S HIAWASSEE RD, ORLANDO, FL 32835-6347
(407) 378-6339
(401) 378-6466
Mailing address
2441 S HIAWASSEE RD, ORLANDO, FL 32835-6347
(407) 378-6339
(407) 378-6466

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OS8087
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271297100
FL
Enumeration date
03/07/2013
Last updated
07/22/2013
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