Provider Demographics
NPI:1144393588
Name:FUELNER, JAMES M (CO)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:FUELNER
Suffix:
Gender:M
Credentials:CO
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Mailing Address - Street 1:5311 E FLETCHER AVENUE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617
Mailing Address - Country:US
Mailing Address - Phone:813-985-5000
Mailing Address - Fax:813-985-4499
Practice Address - Street 1:4021 CENTRAL AVENUE
Practice Address - Street 2:SUITE C
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713
Practice Address - Country:US
Practice Address - Phone:727-323-9500
Practice Address - Fax:727-327-7626
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist