Phoenix Fullenwider

NPI #1417817875 in Ocoee, Florida

Provider Information

NPI Number
1417817875
Entity Type
Individual
Name
Phoenix Fullenwider
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Nov 17, 2025
Last Updated
Nov 17, 2025

Practice Location

Address
630 FORTANINI CIR
City
Ocoee
State
Florida
ZIP Code
34761-5077
Phone
(321) 464-9672

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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