NPI
Shannia Fullerton
NPI 1912510124
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2020-08-26
- Last updated
- 2023-12-29
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Specialties
Licenses
- License FL
- 32697719
- License FL
- AA621
Location
- Practice location
- 62 Columbia St
- City
- Orlando FL
- Postal code
- 32806-1115
- Phone
- (321) 214-4903
- Fax
- (321) 843-2196
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Anesthesiologist Assistants in Orlando, FL. 106 with this primary taxonomy in the public file.
Other NPIs in Orlando, FL. 32,964 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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