Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Christopher Marshall Fuller

Individual provider Developmental Therapist · NPI 1912320334

Mr. Christopher Marshall Fuller is a Developmental Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

5132 Edgeware Ct
Jacksonville, FL 32217 Not confirmed with CMS for 12 years — call before visiting
Phone: (904) 874-1761
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence F460-113-89-031-0 (FL)

Record details

NPI number1912320334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 22, 2014
Last updated in NPPESJanuary 22, 2014

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