OrganizationActive
Fulton Sports Medicine LLC
NPI 1801727441 · Sports Medicine (Family Medicine) Physician · Ormond Beach, FL
Provider details
- NPI number
- 1801727441
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Brent Fulton, President
Practice location
873 Hull Rd Unit 12
Ormond Beach, FL 32174-0738
Phone: (386) 267-2965
Fax: (386) 603-6007
Mailing address
873 Hull Rd Unit 12
Ormond Beach, FL 32174-0738
Registry dates
- Enumerated
- 2026-05-25
- Last updated
- 2026-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.