Brent N. Fulton
Family Doctor Family Doctor - Sports Medicine
3127 W International Speedway Blvd.
Daytona Beach
, Florida 32124
Brent N. Fulton
Family Doctor Family Doctor - Sports Medicine
3127 W International Speedway Blvd.
Daytona Beach
, Florida 32124
(386) 239-9781
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Brent N. Fulton
- 3127 W International Speedway Blvd.
- Daytona Beach, FL
- Zip : 32124
- Fax : (386) 239-9781
- Phone : (386) 258-9502
Second Address
- Brent N. Fulton
- 3127 W International Speedway Blvd.
- Daytona Beach, FL
- Zip : 32124
- Fax : (386) 239-9781
- Phone : (386) 258-9502
Reviews
FAQs
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What type of doctor is Brent N. Fulton
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Is Brent N. Fulton a sole practitioner?
Is Brent N. Fulton accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | ME94759 | FL |
| Y | 207QS0010X | Family Doctor - Sports Medicine | ME94759 | FL |
National Provider Identifier
| NPI | 1194708495 |
|---|---|
| Provider Name | Brent N. Fulton |
| First Address | Daytona Beach, FL 32124 |
| Second Address | Daytona Beach, FL 32124 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2005 |
| Last Update Date | 01/03/2019 |
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.