Individual
BETTINA FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3512 S ATLANTIC AVE, SHORES MEDICAL CENTER, DAYTONA BEACH SHORES, FL 32118
(386) 767-9544
Mailing address
3512 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118-7639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ARNP3088302
FL
Other
Enumeration date
12/03/2014
Last updated
02/06/2015
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