Raeann Fultz
Raeann Fultz is a Physician Assistant in Venice, Florida. Licensed in Florida. Registered with an NPI since 2024.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
19790 Wellen Park Blvd Ste 201AVenice, FL 34293-2296
Phone: (941) 777-7772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 9118815 (FL) |
|---|
Record details
| NPI number | 1477395267 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 11, 2024 |
| Last updated in NPPES | June 11, 2024 |
| Certification date | June 11, 2024 |
| Mailing address | 19790 Wellen Park Blvd Ste 201a, Venice, FL 34293-2296 |
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