Brenna Sullivan Fullerton
Surgeon Pediatric Surgery
1720 S Orange Ave Ste 500
Orlando
, Florida 32806-2967
Brenna Sullivan Fullerton
Surgeon Pediatric Surgery
1720 S Orange Ave Ste 500
Orlando
, Florida 32806-2967
(407) 540-1011
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Brenna Sullivan Fullerton
- 1720 S Orange Ave Ste 500
- Orlando, FL
- Zip : 32806-2967
- Fax : (407) 540-1011
- Phone : (140) 754-0100
Second Address
- Brenna Sullivan Fullerton
- 1720 S Orange Ave Ste 500
- Orlando, FL
- Zip : 32806-2967
- Fax : (407) 540-1011
- Phone : (140) 754-0100
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FAQs
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Is Brenna Sullivan Fullerton a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 259770 | MA |
| N | 208600000X | Surgeon | 259770 | MA |
| Y | 2086S0120X | Pediatric Surgery | ME150199 | FL |
National Provider Identifier
| NPI | 1366741720 |
|---|---|
| Provider Name | Brenna Sullivan Fullerton |
| First Address | Orlando, FL 32806-2967 |
| Second Address | Orlando, FL 32806-2967 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2011 |
| Last Update Date | 20/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.