Active NPI
Paul D Fuldauer, RD
- Registered Dietitian
- Deltona, FL
National Provider Identifier
1578294666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5965
- Practice address
- 3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911 - Phone
- (386) 425-6000
- NPI assigned
- Jun 21, 2022
- Last updated
- Jan 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5965 | FL | Primary |
Addresses
Primary practice location
3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911
Mailing address
PO Box 100286
Gainesville, FL 32610-0286
Phone (352) 265-0535
Other practice location 1
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 425-4000
Other practice location 2
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5965 | FL | MD | Registered Dietitian |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1578294666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100286",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100286",
"telephone_number": "352-265-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E HALIFAX CROSSING BLVD",
"city": "DELTONA",
"state": "FL",
"postal_code": "327252911",
"telephone_number": "386-425-6000"
}
],
"practiceLocations": [
{
"address_1": "303 N Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142709",
"country_code": "US",
"telephone_number": "386-425-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-265-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULDAUER",
"first_name": "PAUL",
"middle_name": "D",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-21",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "5965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.