FULLER REHABILITATION AND CONSULTING SERVICES, INC. (NPI# 1043445653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043445653 |
| Entity Type | Organization |
| Organization Name | FULLER REHABILITATION AND CONSULTING SERVICES, INC. |
| Other Organization Name | FULLER REHABILITATION |
| Practice Address |
3728 Philips Hwy Suite 38 Jacksonville FL 32207-6840 |
| Mailing Address |
Po Box 615 Ringgold GA 30736-0615 |
| Practice Telephone | 9043993509 |
| Practice Fax Number | 9043993507 |
| Mailing Telephone | 7069656131 |
| Mailing Fax Number | 7064131352 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | MR. CARTER D. FULLER (PRESIDENT, CEO) |
| Authorized Official Telephone | 7069650352 |
| Is Organization Subpart | Y |
| Parent Organization Name | FULLER REHABILITATION AND CONSULTING SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers | |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
1313554 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Fuller Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669793949 | Fuller Rehabilitation and Consulting Services, Inc. | Durable Medical Equipment & Medical Supplies | 3913 Todd Ln, Suite 301, Austin, TX 78744-1000 | 2010-06-21 |
| 1902032360 | Fuller Rehabilitation and Consulting Services, Inc. | Durable Medical Equipment & Medical Supplies | 6215 Rangeline Rd, Suite 101, Theodore, AL 36582-5223 | 2009-05-29 |
| 1649405416 | Fuller Rehabilitation and Consulting Services, Inc. | Durable Medical Equipment & Medical Supplies | 975 Cobb Place Blvd Nw, Suite 212, Kennesaw, GA 30144-6899 | 2009-05-22 |
| 1184723512 | Fuller Rehabilitation and Consulting Services, Inc. | Durable Medical Equipment & Medical Supplies | 3900 Bristol Hwy, Suite 11, Johnson City, TN 37601-1391 | 2006-09-22 |
| 1194822395 | Fuller Rehabilitation and Consulting Services, Inc. | Durable Medical Equipment & Medical Supplies | 3190 Atlanta Hwy, Suite 15-a, Athens, GA 30606-6972 | 2006-09-20 |
| 1265667034 | Fuller Rehabilitation and Consulting Services, Inc. | Durable Medical Equipment & Medical Supplies | 136 Industrial Blvd, Pensacola, FL 32505-2202 | 2009-05-22 |
| Street Address |
3728 PHILIPS HWY SUITE 38 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-6840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318397 | Universal Design Solutions LLC | Durable Medical Equipment & Medical Supplies | 11555 Central Pkwy Ste 1002, Jacksonville, FL 32224-2702 | 2019-04-01 |
| 1700311065 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 11651 Central Pkwy Ste 121, Jacksonville, FL 32224-2709 | 2017-04-25 |
| 1790233385 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1715 Country Club Rd Ste B, Jacksonville, NC 28546-6042 | 2016-09-13 |
| 1548500911 | Wayne's 1/2 Price Bedding | Durable Medical Equipment & Medical Supplies | 5853 Normandy Blvd, Jacksonville, FL 32205-6252 | 2013-02-22 |
| 1881992030 | Kobe Ellis | Durable Medical Equipment & Medical Supplies | 3745 Southside Blvd, Jacksonville, FL 32216-4637 | 2011-03-10 |
| 1598062978 | Mitchell R Levine Dmd Pa | Durable Medical Equipment & Medical Supplies | 3600 Cardinal Point Dr, Jacksonville, FL 32257-5581 | 2011-02-20 |
| 1689983397 | Menrx Surgical, LLC | Durable Medical Equipment & Medical Supplies | 10302 Deerwood Park Blvd, Suite 209, Jacksonville, FL 32256-2880 | 2010-09-29 |
| 1447586466 | Wng LLC | Durable Medical Equipment & Medical Supplies | 7667 W Beaver St Lot 5, Jacksonville, FL 32220-3601 | 2009-10-27 |
| 1134249410 | Mandarin Eyecare Assoc, Inc | Durable Medical Equipment & Medical Supplies | 11111 San Jose Blvd, Suite 44, Jacksonville, FL 32223-7946 | 2007-03-30 |
| 1720007610 | Realo Discount Drug Stores of Eastern North Carolina, Inc. | Durable Medical Equipment & Medical Supplies | 2680 Henderson Dr, Unit 1, Jacksonville, NC 28546-5296 | 2006-07-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on FULLER REHABILITATION AND CONSULTING SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.