Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT N FULTON, M.D.
ActiveBRENT N FULTON, M.D. is a Sports Medicine healthcare provider located in ORMOND BEACH, Florida. NPI 1194708495 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ORMOND BEACH, FL
Registration Details
- NPI Number
- 1194708495
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2005 (20.6842539486 yrs)
- Last Updated
- Sep 20, 2024
- Licenses
-
ME94759 (FL)ME94759 (FL)
Practice Information
- Address
-
873 HULL RD UNIT 12ORMOND BEACH, FL, 32174Browse FL providers · Browse ZIP 32174
- Phone
- 3862672965
- Fax
- 3866036007
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.