Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENNA SULLIVAN FULLERTON, M.D.
Active Sole ProprietorBRENNA SULLIVAN FULLERTON, M.D. is a Pediatric Surgery healthcare provider located in ORLANDO, Florida. NPI 1366741720 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · ORLANDO, FL
Registration Details
- NPI Number
- 1366741720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2011 (15.407159158645 yrs)
- Last Updated
- Aug 20, 2021
- Licenses
-
259770 (MA)ME150199 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1720 S ORANGE AVE STE 500ORLANDO, FL, 328062967Browse FL providers · Browse ZIP 32806
- Phone
- 1407540100
- Fax
- 4075401011
- Primary Specialty
-
Pediatric Surgery
2086S0120X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Surgery
Other Pediatric Surgery Providers in ORLANDO, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NICHOLAS D. POULOS | MD | 1669446894 |
| DR. ADELA T. CASAS-MELLEY | M.D. | 1124093919 |
| WILLIAM R. THOMPSON III | MD | 1942265277 |
| DR. DONALD PLUMLEY | MD | 1669426920 |
| DR. MARC LEVY | MD | 1740234012 |
| MARK S CHAET | MD | 1588609556 |
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.