Brian William Fullem in Clearwater - Foot & Ankle Surgery

Brian William Fullem - NPI 1922036086

Brian William Fullem is a Foot & Ankle Surgery in Clearwater, Florida. Brian William Fullem practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Brian William Fullem is 1922036086. The last update date is 2014-09-23.

Brian William Fullem's current location address is 1700 N Mcmullen Booth Rd, Clearwater, Florida. You can contact this provider via phone number 7273307646 and fax number 7273307645. The mailing address for Brian William Fullem is 1700 N Mcmullen Booth Rd, Clearwater, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian William Fullem
Address 1700 N Mcmullen Booth Rd, Clearwater, Florida
Phone Number 7273307646
Fax Number 7273307645
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1922036086
Provider Enumeration Date 2006-06-29
Last Updated Date 2014-09-23

Provider Mailing Address Detail

Address 1700 N Mcmullen Booth Rd
City Clearwater
State Florida (FL)
Post Code 337592130
Phone Number 7273307646
Fax Number 7273307645

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 556
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

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FAQs about Brian William Fullem

What is the unique identifier code issued to Brian William Fullem by the Centers for Medicare & Medicaid Services?

The Brian William Fullem has been assigned the NPI (National Provider Identifier) 1922036086. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Brian William Fullem is physically located?

The Brian William Fullem is physically situated at the following address: 1700 N Mcmullen Booth Rd, Clearwater, FL, 337592130.

What is the Brian William Fullem's area of specialization and corresponding taxonomy classification?

The Brian William Fullem's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.

On what date did Brian William Fullem receive its 1922036086 assignment from the Centers for Medicare & Medicaid Services?

The Brian William Fullem was assigned its 1922036086 on 2006-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Brian William Fullem, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Brian William Fullem, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-23.

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