Paul Fulghum, OD PA

NPI #1962436121 in Jacksonville, Florida

Provider Information

NPI Number
1962436121
Entity Type
Individual
Name
Paul Fulghum, OD PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD PA
Enumeration Date
Jul 11, 2006
Last Updated
Nov 29, 2023

Practice Location

Address
4225 LAKESIDE DR
State
Florida
ZIP Code
32210-3305
Phone
(904) 387-5704

Specialties & Taxonomy Codes

Specialty
Optometrist

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