Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Christopher Marshall Fuller

Individual provider Developmental Therapist · NPI 1912320334

Mr. Christopher Marshall Fuller is a Developmental Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
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Practice location Address checks out

5132 Edgeware Ct
Jacksonville, FL 32217
Phone: (904) 874-1761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence F460-113-89-031-0 (FL)

Record details

NPI number1912320334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 22, 2014
Last updated in NPPESJanuary 22, 2014

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