Fuller Dermatology LLC
Fuller Dermatology LLC is a Medical Specialty Clinic/Center in South Pasadena, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1609 Pasadena Ave S Ste 4CSouth Pasadena, FL 33707
Phone: (727) 347-7524
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence ME99153 (FL) |
|---|
Record details
| NPI number | 1083159529 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Fuller — Owner · (727) 347-7524 |
| NPI enumerated | December 19, 2016 |
| Last updated in NPPES | August 29, 2018 |
| Mailing address | 1609 Pasadena Ave S Ste 4c, South Pasadena, FL 33707-4564 |