Healthcare Provider Details

I. General information

NPI: 1366366114
Provider Name (Legal Business Name): BRANDON FULLER & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 SOUTHGATE CIR STE 7
SARASOTA FL
34239-5514
US

IV. Provider business mailing address

3205 SOUTHGATE CIR STE 7
SARASOTA FL
34239-5514
US

V. Phone/Fax

Practice location:
  • Phone: 941-500-2767
  • Fax: 941-548-4063
Mailing address:
  • Phone: 941-500-2767
  • Fax: 941-548-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES BRANDON FULLER
Title or Position: OWNER
Credential: DAOM
Phone: 941-724-0827