IndividualActive
Brent Fulton, M.D.
NPI 1194708495 · Sports Medicine (Family Medicine) Physician · Ormond Beach, FL
Provider details
- NPI number
- 1194708495
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME94759 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
873 Hull Rd Unit 12
Ormond Beach, FL 32174
Phone: (386) 267-2965
Fax: (386) 603-6007
Approximate (ZIP-level) locationGet directions
Mailing address
873 Hull Rd Unit 12
Ormond Beach, FL 32174
Registry dates
- Enumerated
- 2005-11-21
- Last updated
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.