Stephanie Fulleborn, M.D.

NPI #1437508678 in Eglin Afb, Florida

Provider Information

NPI Number: 1437508678
Entity Type: Individual
Name: Stephanie Fulleborn, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 8, 2016
Last Updated: Aug 19, 2025

Practice Location

Address: 307 BOATNER RD STE 114
City: Eglin Afb
State: Florida
ZIP Code: 32542-1302
Phone: (850) 883-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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