NPI 1023368479
Adrian K Fuller, MSEDS
Practice location
- Address
- 740 Florida Central Pkwy STE 1028, Longwood, FL 32750-7652
- Phone
- (407) 774-2284
- Fax
- (407) 774-2285
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1023368479
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Sep 2012
- Record last updated
- 13 Sep 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.