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Active NPI 1578006409 Individual Practitioner Male Practitioner

Edsel Fullon , PT

Contractor • Longwood, FL

Professional Overview & Biography Verified Profile Summary

Edsel Fullon, PT is a registered healthcare professional specializing in Contractor in Longwood, FL. Practice services are available at 207 OVERSTREET AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

207 Overstreet Ave

Longwood, FL 327505428

Telephone 3212957678
Fax 3212957678

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Longwood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Longwood, FL (793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License FL PT 25414

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2016

Registered at 207 OVERSTREET AVE, LONGWOOD, FL 327505428 (Tel: 3212957678)

📍
Updated Business Mailing Address November 26, 2016

Registered at 207 OVERSTREET AVE, LONGWOOD, FL 327505428 (Tel: 3212957678)

👤
Provider Name / Credentials Updated November 26, 2016

Recorded as EDSEL FULLON, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2016

Contractor (License #PT 25414 in FL)

🟢
Initial NPI Registration & Enumeration November 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578006409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2016
Last Update: November 26, 2016
Sole Proprietor: Yes

Mailing Address

207 Overstreet Ave

Longwood, FL 327505428

Phone: 3212957678

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.