Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Charles Fullerton

Individual provider Registered Nurse · NPI 1174937304

Douglas Charles Fullerton is a Certified Registered Nurse Anesthetist (CRNA) in Miami, Florida. Qualified in 2008, 18 years ago. Practices with University of Miami, a 2,303-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
18
Licensed in
FL, NY
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1400 NW 12th Ave
Miami, FL 33136-1003
Phone: (347) 875-0165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN9467663 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 608702 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 608702 (NY)

Record details

NPI number1174937304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2014
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021
Mailing address9440 Byron Ave, Surfside, FL 33154-2440

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice University Of Miami — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations36 on file with Medicare

Other providers in Miami