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JOHN BRYANT FULLER MD PA NPI 1003684606


NPI Information

NPI: 1003684606
Provider Name: JOHN BRYANT FULLER MD PA
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
5145 DEER PARK DR
NEW PORT RICHEY, FL
ZIP 34653
Phone: (813) 997-2099
Get Directions

JOHN BRYANT FULLER MD PA is a hand surgery orthopaedic surgery in New Port Richey, FL. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. JOHN BRYANT FULLER MD PA NPI is 1003684606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5145 DEER PARK DR
NEW PORT RICHEY, FL
ZIP 34653-013
Phone: (813) 997-2099

The provider's authorized official is Brian Clukie .
The authorized official title is Administrator and has the following contact phone number (813) 997-2099.

The enumeration date for this NPI number is 12/13/2023 and was last updated on 12/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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