Fullerton, Brenna Sullivan

Fullerton, Brenna Sullivan is an sole proprietor health care provider with primary practice located at 1720 S Orange Ave Ste 500 , Orlando FL 32806-2967. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Fullerton, Brenna Sullivan can be contacted via phone (140) 754-0100.

Contact Information

Primary practice address
1720 S Orange Ave Ste 500 Orlando FL 32806-2967
Phone: (140) 754-0100
Fax: (407) 540-1011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 259770 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME150199 Florida

Profile Details

NPI number 1366741720
LBN Legal business name Fullerton, Brenna Sullivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2011
Last updated Aug 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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