Individual
MICHAEL N FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3127 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32124-1070
(386) 258-9502
(386) 239-9781
Mailing address
3127 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32124-1070
(386) 258-9502
(386) 239-9781
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME036059
FL
Other
Enumeration date
02/27/2006
Last updated
08/05/2009
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