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

Dr. Jack T. Fulmer, MD

Individual provider Surgery Physician · NPI 1265592349

Dr. Jack T. Fulmer, MD is a Surgery Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME12908 (FL)

Record details

NPI number1265592349
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESSeptember 24, 2007
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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