Paul D Fuldauer, RD is a
Dietitian, Registered based in Deltona, Florida. Paul D Fuldauer is licensed to practice in Florida (license number 5965) and his current practice location is
3300 E Halifax Crossing Blvd, Deltona, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 425-6000.
NPI number for Paul D Fuldauer is 1578294666 and his current mailing address is 303 N Clyde Morris Blvd, Daytona Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578294666.
Healthcare Provider's Profile
| Full Name | Paul D Fuldauer |
|---|
| Gender | Male |
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| Speciality | Dietitian, Registered |
|---|
| Location | 3300 E Halifax Crossing Blvd, Deltona, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578294666
- Provider Enumeration Date: 06/21/2022
- Last Update Date: 06/21/2022
Medical Identifiers
Medical identifiers for Paul D Fuldauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578294666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 5965 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul D Fuldauer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paul D Fuldauer, RD
303 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2709
Ph: (386) 425-4000 | Paul D Fuldauer, RD
3300 E Halifax Crossing Blvd,
Deltona, FL 32725-2911
Ph: (386) 425-6000 |
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