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

Edsel Fullon, PT

Individual provider Contractor · NPI 1578006409

Edsel Fullon, PT is a Contractor in Longwood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

207 Overstreet Ave
Longwood, FL 32750-5428
Phone: (321) 295-7678
Fax: (321) 295-7678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence PT 25414 (FL)

Record details

NPI number1578006409
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 26, 2016
Last updated in NPPESNovember 26, 2016
Mailing address207 Overstreet Ave, Longwood, FL 32750-5428

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