MATTHEW FULLER


Address: 111 Lucky Dr, Ormond Beach, FL 32176-6672
Phone: 3867959322

MATTHEW FULLER (NPI# 1750946950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750946950
Entity Type Individual
Full Name MATTHEW FULLER
Practice Address 111 Lucky Dr
Ormond Beach
FL 32176-6672
Practice Telephone 3867959322
Mailing Telephone 3867959322
Enumeration Date 2019-05-03
Last Update Date 2019-05-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
IMH18270 FL Behavioral Health & Social Service Providers

Other Providers MATTHEW FULLER

NPI Name Taxonomy Address Enumeration
1992156681 Matthew Fuller Student in an Organized Health Care Education/Training Program 34 Eldor Dr, South Walpole, MA 02071-1020 2016-06-24
1629678404 Matthew Alton Fuller Pharmacist 11328 S Jordan Gtwy, South Jordan, UT 84095-4112 2020-10-29
1043671431 Matthew John Fuller Chiropractor 3727 Buchanan Street, 203, San Francisco, CA 95134 2016-03-11
1457793549 Matthew David Fuller Pharmacist 270 Central Pkwy, Heath, OH 43056-1278 2013-07-18
1396060406 Matthew Joseph Fuller Emergency Medicine University of Utah Hospital, Salt Lake City, UT 84132-0001 2010-03-31
1417039470 Matthew A. Fuller Pharmacist 10000 Brecksville Rd, Pharmacy Service 119 (b), Brecksville, OH 44141-3204 2006-10-19

Office Location

Street Address 111 LUCKY DR
City ORMOND BEACH
State FL
Zip Code 32176-6672

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912488446 Laura Kuftic Massage Therapist 496 Hollywood Street, None, Ormond Beach, FL 32176 2018-08-23
1154809846 Thomas Dubrule Technician, Pathology 176 Ormwood Dr, Ormond Beach, FL 32176 2018-08-03
1326590316 Rsc Ormond Beach Seaside LLC Assisted Living Facility 1050 Ocean Short Blvd, Ormond Beach, FL 32176 2016-10-26
1114270717 Kristi L Lafreniere Nurse Practitioner 215 Ponce De Leon Drive, Ormond Bch, FL 32176 2012-10-19
1043589922 Jocelyn Marie Mazelow Pharmacist 205 E Granada Blvd., Ormond Beach, FL 32176 2011-12-21
1437390630 Neal Galen Henegar Massage Therapist 195 Coquina Court, Ormond Beach, FL 32176 2009-03-18
1669612602 Margarita J. Vagnier Occupational Therapy Assistant 3 Briggs Drive, Ormond Beach, FL 32176 2009-03-04
1063676278 Elaine C Murphy Chore Provider 129 Beau Rivage Drive, Ormond Beach, FL 32176 2008-07-16
1063575017 Carol Lynn Learned Chiropractor 147 East Granada Blvd, Ormond Beach, FL 32176 2006-12-19
1730132044 Charles Thomas Donaldson Emergency Medicine 7 Sea Oats Terraace, Ormond Beach, FL 32176 2006-05-18
Find all providers in zip 32176

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801439773 Dorothy M Fahey Counselor 134 Laurie Dr, Ormond Beach, FL 32176-3216 2019-10-23
1407416050 Bette Brock Rutan Counselor 19 Cypress Hollow Ln, Ormond Beach, FL 32174-3047 2019-06-17
1033677133 Karen Marie Palpant Counselor 194 E Granada Blvd, Ormond Beach, FL 32176-6616 2019-03-07
1790256162 Jeanne Esguerra Counselor 329 Mcintosh Rd, Ormond Beach, FL 32174-5518 2018-12-11
1639539208 Margaret Dawn Billings Counselor 1848 Airport Rd, Ormond Beach, FL 32174-8719 2016-02-25
1528405883 Karen A Smith Counselor 4 Buckingham Dr, Ormond Beach, FL 32176-2802 2013-05-28
1699015859 Erin Tracy Williams Counselor 731 Santa Ana Ave, Ormond Beach, FL 32174-7461 2013-02-26
1760739551 Sara T Keen Counselor 1362 N Us Highway 1, Suite 301, Ormond Beach, FL 32174-8902 2012-08-10
1114282209 Arika Mclain Counselor 533 N Nova Rd Fl 32174, Ormond Beach, FL 32174-4447 2012-07-05
1063719821 Rita Marino Counselor 1687 W Granada Blvd, Ormond Beach, FL 32174-6709 2011-02-14
Find all providers in ORMOND BEACH

Competitor

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City ORMOND BEACH
Zip Code 32176

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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