Fulton, Brent N.

Fulton, Brent N. is an individual health care provider with primary practice located at 3127 W International Speedway Blvd. , Daytona Beach FL 32124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Fulton, Brent N. can be contacted via phone (386) 258-9502.

Contact Information

Primary practice address
3127 W International Speedway Blvd. Daytona Beach FL 32124
Phone: (386) 258-9502
Fax: (386) 239-9781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME94759 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME94759 Florida

Profile Details

NPI number 1194708495
LBN Legal business name Fulton, Brent N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 1st, 2019 - about 5 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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