Individual
BRENNA SULLIVAN FULLERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1720 S ORANGE AVE STE 500, ORLANDO, FL 32806-2967
(140) 754-0100
(407) 540-1011
Mailing address
1720 S ORANGE AVE STE 500, ORLANDO, FL 32806-2967
(140) 754-0100
(407) 540-1011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
259770
MA
2086S0120X
Pediatric Surgery Physician
Primary
ME150199
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2011
Last updated
08/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us